Miss Thao Kim Pham, PA-C is a medicare enrolled "Physician Assistant - Medical" in Engelhard, North Carolina. Her current practice location is
33270 Us Highway 264, Engelhard, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 925-7000.
Miss Thao Kim Pham is licensed to practice in North Carolina (license number 0010-11951) 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 1366015448.
Provider's Profile
Full Name | Miss Thao Kim Pham |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 33270 Us Highway 264, Engelhard, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366015448
- Provider Enumeration Date: 07/19/2021
- Last Update Date: 08/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9032590633
- Enrollment ID: I20220713003119
Medical Identifiers
Medical identifiers for Miss Thao Kim Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366015448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 0010-11951 (North Carolina) | Primary |
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. Miss Thao Kim Pham 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 |
Miss Thao Kim Pham, PA-C Po Box 277, Engelhard, NC 27824-0277 Ph: (252) 925-7000 | Miss Thao Kim Pham, PA-C 33270 Us Highway 264, Engelhard, NC 27824-9557 Ph: (252) 925-7000 |
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