Percival Nam, MD is a
Student In An Organized Health Care Education/training Program physician based in Greeley, Colorado. Percival Nam is licensed to practice in Colorado (license number TL.0011033) and his current practice location is 1600 23rd Ave, Greeley, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 810-2424.
NPI number for Percival Nam is 1194516567 and his current mailing address is 1600 23rd Ave, Greeley, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194516567.
Physician's Profile
| Full Name | Percival Nam |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1600 23rd Ave, Greeley, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1194516567
- Provider Enumeration Date: 05/15/2025
- Last Update Date: 06/03/2025
Medical Identifiers
Medical identifiers for Percival Nam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194516567 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | TL.0011033 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | TL.0011033 (Colorado) | Primary |
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. Percival Nam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Percival Nam, MD
1600 23rd Ave,
Greeley, CO 80634-6070
Ph: () - | Percival Nam, MD
1600 23rd Ave,
Greeley, CO 80634-6070
Ph: (970) 810-2424 |
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