Dr Phong Michael Pham, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Sanibel, Florida. He went to Illinois College Of Optometry At Chicago and graduated in 2000 and has 24 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Physicians And Surgeons Of Florida Pa and his current practice location is
1571 Periwinkle Way, Sanibel, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 472-4204.
Dr Phong Michael Pham is licensed to practice in Florida (license number OPC3502) 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 1588790828.
Healthcare Provider's Profile
| Full Name | Dr Phong Michael Pham |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 24 Years |
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| Location | 1571 Periwinkle Way, Sanibel, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Phong Michael Pham attended and graduated from Illinois College Of Optometry At Chicago in 2000
NPI Data:
- NPI Number: 1588790828
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 06/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981756772
- Enrollment ID: I20090708000445
Medical Identifiers
Medical identifiers for Dr Phong Michael Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588790828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC3502 (Florida) | Secondary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OPC3502 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eye Physicians And Surgeons Of Florida Pa | 7113056292 | 7 |
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 Phong Michael Pham allows following entities to bill medicare on his behalf.
| Provider Name | Eye Physicians And Surgeons Of Florida Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275648495
PECOS PAC ID: 7113056292
Enrollment ID: O20100527000752 |
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| Provider Name | Optometrica O D P A |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174879563
PECOS PAC ID: 9638326325
Enrollment ID: O20120831000454 |
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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 Phong Michael 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 |
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Dr Phong Michael Pham, OD
6747 Willow Lake Cir,
Fort Myers, FL 33966-1253
Ph: (239) 472-4204 | Dr Phong Michael Pham, OD
1571 Periwinkle Way,
Sanibel, FL 33957-4513
Ph: (239) 472-4204 |
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