Dr Kevin Gia-minh Phan, OD - Medicare Optometrist in Happy Valley, OR

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Dr Kevin Gia-minh Phan, OD is a medicare enrolled "Optometrist" provider in Happy Valley, Oregon. His current practice location is 12000 Se 82nd Ave Ste 2193, Happy Valley, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 654-6217.

Dr Kevin Gia-minh Phan is licensed to practice in Oregon (license number 4708) 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 1164065959.

Contact Information

Dr Kevin Gia-minh Phan, OD
12000 Se 82nd Ave Ste 2193,
Happy Valley, OR 97086-7746
(503) 654-6217
(503) 654-9335

Map and Direction




Healthcare Provider's Profile

Full NameDr Kevin Gia-minh Phan
GenderMale
SpecialityOptometrist
Location12000 Se 82nd Ave Ste 2193, Happy Valley, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164065959
  • Provider Enumeration Date: 10/24/2019
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608294202
  • Enrollment ID: I20200914002909

Medical Identifiers

Medical identifiers for Dr Kevin Gia-minh Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164065959NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 60964432 (Washington)Secondary
152W00000XOptometrist 4708 (Oregon)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. Dr Kevin Gia-minh Phan allows following entities to bill medicare on his behalf.
Provider NameCharles Sung Md Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245358050
PECOS PAC ID: 7810956562
Enrollment ID: O20050723000104
Provider NamePacific Eye Group Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1831656925
PECOS PAC ID: 1355682246
Enrollment ID: O20200330003425

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. Dr Kevin Gia-minh 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
Dr Kevin Gia-minh Phan, OD
11084 Se 64th Ave,
Portland, OR 97222-2319

Ph: (503) 890-7209		Dr Kevin Gia-minh Phan, OD
12000 Se 82nd Ave Ste 2193,
Happy Valley, OR 97086-7746

Ph: (503) 654-6217

Reviews and Comments


Optometrist in Happy Valley, OR

Pacific Eye Group, Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 12000 Se 82nd Ave Ste 2193, Happy Valley, OR 97086
Phone: 425-329-2722    
Keith L Miller, Od, Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 11800 Se 82nd Ave, Happy Valley, OR 97086
Phone: 503-786-5235    
Dr. Samuel Edward Adelman, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 11800 Se 82nd Ave, Happy Valley, OR 97086
Phone: 503-660-3093    Fax: 503-654-5429
Spectrum Eye Care Llc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086
Phone: 503-698-2375    Fax: 503-251-3761
Dr. Dominic Jerome Dorazio, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 12050 Se Stevens Rd Ste 100, Happy Valley, OR 97086
Phone: 503-656-4221    
Dr. William Bert Berk Jr., O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 13180 Se 169th Ave Ste 104, Happy Valley, OR 97086
Phone: 503-698-2375    Fax: 503-698-3398

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.