Oliver Tan Phan, MD in Edina, MN - Medicare Nephrology

Oliver Tan Phan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Edina, Minnesota. He went to University Of Minnesota Medical School and graduated in 2007 and has 18 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Fairview Health Services, Intermed Consultants Dialysis Pllc, Intermed Consultants,ltd. and his current practice location is 6363 France Ave S, Suite 400, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 221-3201.

Oliver Tan Phan is licensed to practice in Minnesota (license number 57455) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1942463229.

Contact Information

	Oliver Tan Phan, MD
	6363 France Ave S, Suite 400, Edina, MN 55435-2129
	(763) 221-3201
	Not Available

Map and Direction

Physician's Profile

Full Name	Oliver Tan Phan
Gender	Male
Speciality	Nephrology
Experience	18 Years
Location	6363 France Ave S, Edina, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Oliver Tan Phan attended and graduated from University Of Minnesota Medical School in 2007

NPI Data:

NPI Number: 1942463229
Provider Enumeration Date: 07/07/2008
Last Update Date: 01/20/2016

Medicare PECOS Information:

PECOS PAC ID: 4082862909
Enrollment ID: I20140630002198

Medical Identifiers

Medical identifiers for Oliver Tan Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942463229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	57455 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Louis Park Dialysis Of Davita	Saint louis park, MN	Dialysis facility
Total Renal Care, Inc.	Lakeville, MN	Dialysis facility
Davita - Uptown	Minneapolis, MN	Dialysis facility
East Valley Dialysis Of Davita	Apple valley, MN	Dialysis facility
Fairview Southdale Hospital	Edina, MN	Hospital
Fairview Ridges Hospital	Burnsville, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Health Services	1951213057	551
Intermed Consultants Dialysis Pllc	7012225105	11
Intermed Consultants,ltd.	8022033372	16

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Oliver Tan Phan allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Intermed Consultants,ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962596221 PECOS PAC ID: 8022033372 Enrollment ID: O20051006000224

Entity Name	Intermed Consultants Dialysis Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376912857 PECOS PAC ID: 7012225105 Enrollment ID: O20151009002328

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. Oliver Tan Phan 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
Oliver Tan Phan, MD 6363 France Ave S, Suite 400, Edina, MN 55435-2129 Ph: (763) 221-3201	Oliver Tan Phan, MD 6363 France Ave S, Suite 400, Edina, MN 55435-2129 Ph: (763) 221-3201

Reviews and Comments

Internal Medicine Doctors in Edina, MN

Christopher Stefonowicz, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 100, Edina, MN 55435 Phone: 952-832-8100
Dr. Mohammad H Arbabi, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6500 France Ave S, Edina, MN 55435 Phone: 952-924-8117 Fax: 844-422-7933
Anne Marie Rosenberg, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7500 France Ave S, Edina, MN 55435 Phone: 952-835-1311
David Lewis Bowlin, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 6363 France Ave S, Suite 400, Edina, MN 55435 Phone: 952-920-2070 Fax: 952-920-7444
Jody Kay Hargrove, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954
Jeffrey Lee Wilson, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954
Brian Berglund, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8100 W 78th St Ste 100, Edina, MN 55439 Phone: 952-914-8100

Oliver Tan Phan, MD - Medicare Nephrology in Edina, MN