Lam Trong Phan, PA in Marietta, GA - Medicare Physician Assistant

Lam Trong Phan, PA is a medicare enrolled "Physician Assistant" in Marietta, Georgia. His current practice location is 677 Church St Ne, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 794-0477.

Lam Trong Phan is licensed to practice in Georgia (license number 002176) 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 1538114582.

Contact Information

	Lam Trong Phan, PA
	677 Church St Ne, Marietta, GA 30060-1101
	(770) 794-0477
	(770) 794-3108

Map and Direction

Provider's Profile

Full Name	Lam Trong Phan
Gender	Male
Speciality	Physician Assistant
Location	677 Church St Ne, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538114582
Provider Enumeration Date: 05/24/2006
Last Update Date: 08/28/2019

Medicare PECOS Information:

PECOS PAC ID: 0042268393
Enrollment ID: I20050104000541

Medical Identifiers

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

Identifier	Type	State	Issuer
1538114582	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	002176 (Georgia)	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. Lam Trong Phan allows following entities to bill medicare on his behalf.

Entity Name	Georgia Anesthesiologists, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398

Entity Name	Wellstar Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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. Lam Trong 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
Lam Trong Phan, PA 3120 Swallow Dr Ne, Marietta, GA 30066-3001 Ph: () -	Lam Trong Phan, PA 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477

Reviews and Comments

Physician Assistant Nurses in Marietta, GA

Mrs. Torey Charlise Davis-bogan, SA-C, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3105 Rome Ct Sw, Marietta, GA 30064 Phone: 317-664-0771
Yumei Manzano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne Ste 340, Marietta, GA 30060 Phone: 678-355-1620
Mrs. Lisa M Lewis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376
Ms. Megan Nichole Dalton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Kennestone Hospital Blvd Ste 100, Marietta, GA 30060 Phone: 770-281-5100 Fax: 678-581-7100
Jonathan Collier Stone, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1044 Azalea Cir, Marietta, GA 30062 Phone: 770-354-0584
Raajan Raja Arulampalam, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Mr. Reyes Torres Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne, Suite 350, Marietta, GA 30060 Phone: 770-424-6893 Fax: 770-424-2024

Lam Trong Phan, PA - Medicare Physician Assistant in Marietta, GA