Jamie Phan, PA-C - Medicare Physician Assistant in Marina Del Rey, CA

  1. Home
  2. Physician Assistant
  3. CA
  4. Marina Del Rey
Jamie Phan, PA-C is a medicare enrolled "Physician Assistant" in Marina Del Rey, California. Her current practice location is 4551 Glencoe Ave Ste 145, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 405-0595.

Jamie Phan is licensed to practice in California (license number 62966) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619600194.

Contact Information

Jamie Phan, PA-C
4551 Glencoe Ave Ste 145,
Marina Del Rey, CA 90292-6385
(310) 405-0595
Not Available

Map and Direction




Provider's Profile

Full NameJamie Phan
GenderFemale
SpecialityPhysician Assistant
Location4551 Glencoe Ave Ste 145, Marina Del Rey, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619600194
  • Provider Enumeration Date: 07/02/2022
  • Last Update Date: 09/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8224571658
  • Enrollment ID: I20240613003321

Medical Identifiers

Medical identifiers for Jamie Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619600194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 62966 (California)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. Jamie Phan allows following entities to bill medicare on her behalf.
Entity NameAndy Shen MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457427221
PECOS PAC ID: 8527164482
Enrollment ID: O20070509000575
Entity NameEmergency Physicians of San Gabriel Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366021834
PECOS PAC ID: 4082023726
Enrollment ID: O20210507002497

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. Jamie 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
Jamie Phan, PA-C
3202 Rosemead Pl,
Rosemead, CA 91770-2848

Ph: (626) 283-1826		Jamie Phan, PA-C
4551 Glencoe Ave Ste 145,
Marina Del Rey, CA 90292-6385

Ph: (310) 405-0595

Reviews and Comments


Physician Assistant Nurses in Marina Del Rey, CA

Chase Krivashei, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-823-8911    Fax: 310-577-5694
Kyrllos Atef Rezekalla, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3221 Carter Ave, Marina Del Rey, CA 90292
Phone: 310-430-9795    
Brenda V Gomez, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 13160 Mindanao Way # 20290292, Marina Del Rey, CA 90292
Phone: 310-574-2103    
Ms. Brittany Lynn Nolan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-823-8911    
Carla N Crespo, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4640 Admiralty Way Ste 1000, Marina Del Rey, CA 90292
Phone: 310-300-1779    Fax: 310-494-0509
Samantha Marcoly,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4650 Lincoln Blvd, Marina Del Rey, CA 90292
Phone: 310-448-5200    
Marina Vergilis, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 13326 Maxella Ave, Unit 3, Marina Del Rey, CA 90292
Phone: 310-593-4119    

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.