Ms Chhorn Houn Pho, PA-C is a medicare enrolled "Physician Assistant" physician in Saint Francis, Minnesota. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Select Urgent Care Llc and her current practice location is
22978 Butterfield Dr Nw, Saint Francis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 230-9248.
Ms Chhorn Houn Pho is licensed to practice in Minnesota (license number 13249) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023646882.
Physician's Profile
| Full Name | Ms Chhorn Houn Pho |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 22978 Butterfield Dr Nw, Saint Francis, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Chhorn Houn Pho graduated from medical school in 2019
NPI Data:
- NPI Number: 1023646882
- Provider Enumeration Date: 03/28/2020
- Last Update Date: 07/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628466265
- Enrollment ID: I20220131001467
Medical Identifiers
Medical identifiers for Ms Chhorn Houn Pho such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023646882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13249 (Minnesota) | Secondary |
| 225400000X | Rehabilitation Practitioner | (Washington) | Secondary |
| 363A00000X | Physician Assistant | 13249 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Select Urgent Care Llc | 1658762646 | 14 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Chhorn Houn Pho is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Chhorn Houn Pho, PA-C
1200 167th Ave Nw,
Andover, MN 55304-2854
Ph: (651) 528-3713 | Ms Chhorn Houn Pho, PA-C
22978 Butterfield Dr Nw,
Saint Francis, MN 55070-7710
Ph: (763) 230-9248 |
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