Dr Tammy Le Phan, OD is a medicare enrolled "Optometrist" provider in Radnor, Pennsylvania. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Aeg Florida Professional Pllc and her current practice location is
550 E Lancaster Ave, Radnor, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(210) 524-6591.
Dr Tammy Le Phan is licensed to practice in Florida (license number OPC5411) 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 1255693263.
Healthcare Provider's Profile
| Full Name | Dr Tammy Le Phan |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 11 Years |
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| Location | 550 E Lancaster Ave, Radnor, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She 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 Tammy Le Phan graduated from medical school in 2014
NPI Data:
- NPI Number: 1255693263
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 04/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012163116
- Enrollment ID: I20180215001841
Medical Identifiers
Medical identifiers for Dr Tammy Le Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255693263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | OPC5411 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Aeg Florida Professional Pllc | 3870960032 | 49 |
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 Tammy Le Phan allows following entities to bill medicare on her behalf.
| Provider Name | Advanced Eye Care Of Central Florida Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750577490
PECOS PAC ID: 4385733625
Enrollment ID: O20071210000110 |
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| Provider Name | Myeyedr Optometry Of Florida, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073907028
PECOS PAC ID: 0143541037
Enrollment ID: O20150603002802 |
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| Provider Name | Aeg Florida Professional Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164156246
PECOS PAC ID: 3870960032
Enrollment ID: O20221101003017 |
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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 Tammy Le 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 Address | Practice Location Address |
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Dr Tammy Le Phan, OD
550 E Lancaster Ave,
Radnor, PA 19087-5044
Ph: (210) 524-6591 | Dr Tammy Le Phan, OD
550 E Lancaster Ave,
Radnor, PA 19087-5044
Ph: (210) 524-6591 |
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