Tin Viet Phan, - Medicare Physician Assistant in Longmeadow, MA

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Tin Viet Phan, is a medicare enrolled "Physician Assistant" in Longmeadow, Massachusetts. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Le And Chang Family Urgent Care Pc and his current practice location is 588 Longmeadow St, Longmeadow, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 565-1000.

Tin Viet Phan is licensed to practice in Massachusetts (license number PA101877) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134803059.

Contact Information

Tin Viet Phan,
588 Longmeadow St,
Longmeadow, MA 01106-2212
(413) 565-1000
Not Available

Map and Direction




Provider's Profile

Full NameTin Viet Phan
GenderMale
SpecialityPhysician Assistant
Experience1 Years
Location588 Longmeadow St, Longmeadow, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tin Viet Phan graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1134803059
  • Provider Enumeration Date: 06/12/2023
  • Last Update Date: 04/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2961907431
  • Enrollment ID: I20250925001493

Medical Identifiers

Medical identifiers for Tin Viet Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134803059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA101877 (Massachusetts)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Le And Chang Family Urgent Care Pc98302643403

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. Tin Viet Phan allows following entities to bill medicare on his behalf.
Entity NameLe & Chang Family Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902066574
PECOS PAC ID: 9830264340
Enrollment ID: O20080819000135
Entity NameBoston Health Care for the Homeless Program, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033157771
PECOS PAC ID: 2668475419
Enrollment ID: O20110527000309

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. Tin Viet 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
Tin Viet Phan,
588 Longmeadow St,
Longmeadow, MA 01106-2212

Ph: Not Available		Tin Viet Phan,
588 Longmeadow St,
Longmeadow, MA 01106-2212

Ph: (413) 565-1000

Reviews and Comments


Physician Assistant Nurses in Longmeadow, MA

Kevin Wijewardena,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 413-565-1000    
Erin Lynn Emery, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 413-565-1000    
Katherine Tramanh Ngoc Nguyen,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 413-565-1000    
Ashley Ruth Shelsie Desameau, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 413-565-1000    
Patricia Ceseretti,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 413-565-1000    
Christiana Annmarie Nunez, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 347-424-3333    
Logan David Welch,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 588 Longmeadow St, Longmeadow, MA 01106
Phone: 413-565-1000    

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.