Hoang-lan Phan, is a medicare enrolled "Nurse Practitioner - Family" in Pacific Grove, California. This provider graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. This provider is a member of the group practice Solomon Medical Inc, Solomon Physicians Group Pc and their current practice location is
1120 Forest Ave # 138, Pacific Grove, California. You can reach out to their office (for appointments etc.) via phone at
(831) 200-9651.
Hoang-lan Phan is licensed to practice in California (license number 95036308) and this provider also participates in the medicare program. This provider
accepts medicare assignments (which means this provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and their NPI Number is 1710875554.
Provider's Profile
| Full Name | Hoang-lan Phan |
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| Gender | |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 1120 Forest Ave # 138, Pacific Grove, California |
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| Accepts Medicare Assignments | Yes. This provider 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:
- Hoang-lan Phan graduated from nursing school in 2024
NPI Data:
- NPI Number: 1710875554
- Provider Enumeration Date: 06/27/2025
- Last Update Date: 04/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 5698279883
- Enrollment ID: I20250919002061
Medical Identifiers
Medical identifiers for Hoang-lan Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710875554 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95036308 (California) | Primary |
| 163W00000X | Registered Nurse | 95159511 (California) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Solomon Medical Inc | 4385041334 | 31 |
| Solomon Physicians Group Pc | 6709385677 | 14 |
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. Hoang-lan Phan allows following entities to bill medicare on their behalf.
| Entity Name | Solomon Medical Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275106502
PECOS PAC ID: 4385041334
Enrollment ID: O20210919000018 |
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| Entity Name | Solomon Physicians Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114809423
PECOS PAC ID: 6709385677
Enrollment ID: O20250818002433 |
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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. Hoang-lan 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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Hoang-lan Phan,
1120 Forest Ave # 138,
Pacific Grove, CA 93950-5105
Ph: (831) 200-9651 | Hoang-lan Phan,
1120 Forest Ave # 138,
Pacific Grove, CA 93950-5105
Ph: (831) 200-9651 |
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