Samantha Phung, DO in Burbank, CA - Medicare Diagnostic Radiology

Samantha Phung, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Burbank, California. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice St Jude Radiology Medical Group Inc and her current practice location is 4323 W Riverside Dr, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (818) 556-2700.

Samantha Phung is licensed to practice in California (license number 20A20980) 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 1497252969.

Contact Information

	Samantha Phung, DO
	4323 W Riverside Dr, Burbank, CA 91505-4044
	(818) 556-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Samantha Phung
Gender	Female
Speciality	Diagnostic Radiology
Experience	7 Years
Location	4323 W Riverside Dr, Burbank, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samantha Phung graduated from medical school in 2018

NPI Data:

NPI Number: 1497252969
Provider Enumeration Date: 04/10/2018
Last Update Date: 07/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3072866243
Enrollment ID: I20230530002509

Medical Identifiers

Medical identifiers for Samantha Phung such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497252969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	20A20980 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Jude Radiology Medical Group Inc	7214838002	60

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. Samantha Phung allows following entities to bill medicare on her behalf.

Entity Name	St Jude Radiology Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649349705 PECOS PAC ID: 7214838002 Enrollment ID: O20040115000501

Entity Name	Martin Luther King Jr Community Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Samantha Phung 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
Samantha Phung, DO 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Samantha Phung, DO 4323 W Riverside Dr, Burbank, CA 91505-4044 Ph: (818) 556-2700

Reviews and Comments

Radiology Doctors in Burbank, CA

Dr. Norman Robert Silverman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2820 N Ontario St, Burbank, CA 91504 Phone: 208-292-4322
Daniel Wonil Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 501 S Buena Vista St, Burbank, CA 91505 Phone: 818-847-6049 Fax: 818-847-4842
Dr. Leslie St. Royal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2901 Mystic View Pl, Burbank, CA 91504 Phone: 818-606-7540
Marc Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1624 W Olive Ave, Suite F, Burbank, CA 91506 Phone: 818-843-2835 Fax: 818-843-3310
Dr. Mohammad Reza Dadsetan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 225 S Glenoaks Blvd, Burbank, CA 91502 Phone: 818-843-1919 Fax: 818-843-3587
Samuel Tokuyama, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 855 Brown Dr, Burbank, CA 91504 Phone: 818-848-1945

Samantha Phung, DO - Medicare Diagnostic Radiology in Burbank, CA