Phuong Daole Pham, PMHNP in San Diego, CA - Medicare Nurse Practitioner

Phuong Daole Pham, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mark David Levine Md Professional Corporation and her current practice location is 11770 Bernardo Plaza Ct Ste 370, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 673-3360.

Phuong Daole Pham is licensed to practice in California (license number NP95019215) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700200664.

Contact Information

	Phuong Daole Pham, PMHNP
	11770 Bernardo Plaza Ct Ste 370, San Diego, CA 92128-2426
	(858) 673-3360
	Not Available

Map and Direction

Provider's Profile

Full Name	Phuong Daole Pham
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	11770 Bernardo Plaza Ct Ste 370, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Phuong Daole Pham graduated from nursing school in 2021

NPI Data:

NPI Number: 1700200664
Provider Enumeration Date: 02/13/2014
Last Update Date: 01/12/2022

Medicare PECOS Information:

PECOS PAC ID: 3779975115
Enrollment ID: I20220117000679

Medical Identifiers

Medical identifiers for Phuong Daole Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700200664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95019215 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mark David Levine Md Professional Corporation	0143478305	106

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. Phuong Daole Pham allows following entities to bill medicare on her behalf.

Entity Name	Psychiatric Centers At San Diego, Inc. Med Grp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841241585 PECOS PAC ID: 0143201087 Enrollment ID: O20040526001651

Entity Name	Mark David Levine Md Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154697944 PECOS PAC ID: 0143478305 Enrollment ID: O20120912000548

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. Phuong Daole 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
Phuong Daole Pham, PMHNP Po Box 609001, San Diego, CA 92160-9001 Ph: (619) 528-4600	Phuong Daole Pham, PMHNP 11770 Bernardo Plaza Ct Ste 370, San Diego, CA 92128-2426 Ph: (858) 673-3360

Reviews and Comments

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Phuong Daole Pham, PMHNP - Medicare Nurse Practitioner in San Diego, CA