Andrew Tj Phan, - Medicare Certified Registered Nurse Anesthetist (crna) in San Leandro, CA

  1. Home
  2. Nurse Anesthetist - CR
  3. CA
  4. San Leandro
Andrew Tj Phan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Leandro, California. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Permanente Medical Group Inc and his current practice location is 2500 Merced St, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 454-2069.

Andrew Tj Phan is licensed to practice in California (license number 95001468) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720693054.

Contact Information

Andrew Tj Phan,
2500 Merced St,
San Leandro, CA 94577-4201
(510) 454-2069
Not Available

Map and Direction




Provider's Profile

Full NameAndrew Tj Phan
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location2500 Merced St, San Leandro, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Tj Phan graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1720693054
  • Provider Enumeration Date: 09/14/2020
  • Last Update Date: 04/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0547676744
  • Enrollment ID: I20210315000442

Medical Identifiers

Medical identifiers for Andrew Tj Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720693054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 95001468 (California)Primary
163W00000XRegistered Nurse 95035493 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc892191022510928

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. Andrew Tj Phan allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameStanford Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437292927
PECOS PAC ID: 6709797491
Enrollment ID: O20031124000348
Entity NameLpch Medical Group Div of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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. Andrew Tj 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 AddressPractice Location Address
Andrew Tj Phan,
2500 Merced St,
San Leandro, CA 94577-4201

Ph: Not Available		Andrew Tj Phan,
2500 Merced St,
San Leandro, CA 94577-4201

Ph: (510) 454-2069

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in San Leandro, CA

Karl Nicole Miquela Labrador, RN
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Mr. Perry Sales, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 Merced St, Department Of Anesthesiology, San Leandro, CA 94577
Phone: 510-454-2070    
Ahmad Jamal Mohammad, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Jennifer Lim,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Joseph J Janakes, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, Department Of Anesthesia, San Leandro, CA 94577
Phone: 510-454-2070    
Mr. Jacob Emmanuel Bayani, C.R.N.A
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2500 Merced Street, San Leandro, CA 94577
Phone: 510-454-1000    
Steven Bazan,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-2070    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.