Christopher Phan, in Jacksonville, FL - Medicare Nurse Anesthetist, Certified Registered

Christopher Phan, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. His current practice location is 2080 Child Street, Anesthesia Dept, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 542-7632.

Christopher Phan is licensed to practice in Florida (license number 11034333) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689403560.

Contact Information

	Christopher Phan,
	2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214
	(904) 542-7632
	Not Available

Map and Direction

Provider's Profile

Full Name	Christopher Phan
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2080 Child Street, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689403560
Provider Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7911436332
Enrollment ID: I20250129002334

Medical Identifiers

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

Identifier	Type	State	Issuer
1689403560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	11034333 (Florida)	Primary

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. Christopher Phan allows following entities to bill medicare on his behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

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. Christopher 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
Christopher Phan, 2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214 Ph: (904) 542-7632	Christopher Phan, 2080 Child Street, Anesthesia Dept, Jacksonville, FL 32214 Ph: (904) 542-7632

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111
Michelle Alicia Coy, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 904-542-7300
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220

Christopher Phan, - Medicare Nurse Anesthetist, Certified Registered in Jacksonville, FL