Pauline Quynh Phan, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Monrovia, California. She went to West Virginia School Of Osteopathic Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Pacific Clinics, Crossroads Institute For Psychotherapy And Assessment, Inc and her current practice location is
902 S Myrtle Ave, Monrovia, California. You can reach out to her office (for appointments etc.) via phone at
(626) 357-3258.
Pauline Quynh Phan is licensed to practice in California (license number 20A19931) 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 1417419680.
Physician's Profile
| Full Name | Pauline Quynh Phan |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 7 Years |
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| Location | 902 S Myrtle Ave, Monrovia, California |
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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:
- Pauline Quynh Phan attended and graduated from West Virginia School Of Osteopathic Medicine in 2019
NPI Data:
- NPI Number: 1417419680
- Provider Enumeration Date: 04/04/2019
- Last Update Date: 11/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729313127
- Enrollment ID: I20241009004267
Medical Identifiers
Medical identifiers for Pauline Quynh Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417419680 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 20A19931 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pacific Clinics | 4082008420 | 60 |
| Crossroads Institute For Psychotherapy And Assessment, Inc | 9638391949 | 5 |
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. Pauline Quynh Phan allows following entities to bill medicare on her behalf.
| Entity Name | Crossroads Institute For Psychotherapy And Assessment, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831432806
PECOS PAC ID: 9638391949
Enrollment ID: O20141120001200 |
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| Entity Name | Pacific Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255496105
PECOS PAC ID: 4082008420
Enrollment ID: O20220228001926 |
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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. Pauline Quynh 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 |
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Pauline Quynh Phan,
902 S Myrtle Ave,
Monrovia, CA 91016-3427
Ph: (626) 357-3258 | Pauline Quynh Phan,
902 S Myrtle Ave,
Monrovia, CA 91016-3427
Ph: (626) 357-3258 |
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