Kimmy Phan, in Garden Grove, CA - Medicare Occupational Therapist Provider

Kimmy Phan, is a medicare enrolled "Occupational Therapist" provider in Garden Grove, California. Her current practice location is 11911 West St, Garden Grove, California. You can reach out to her office (for appointments etc.) via phone at (714) 467-9816.

Kimmy Phan is licensed to practice in California (license number 19050) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043843816.

Contact Information

	Kimmy Phan,
	11911 West St, Garden Grove, CA 92840-2552
	(714) 467-9816
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimmy Phan
Gender	Female
Speciality	Occupational Therapist
Location	11911 West St, Garden Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043843816
Provider Enumeration Date: 02/19/2020
Last Update Date: 11/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8527480748
Enrollment ID: I20200617000493

Medical Identifiers

Medical identifiers for Kimmy Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043843816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	19050 (California)	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. Kimmy Phan allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Kimmy 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
Kimmy Phan, 11911 West St, Garden Grove, CA 92840-2552 Ph: (714) 467-9816	Kimmy Phan, 11911 West St, Garden Grove, CA 92840-2552 Ph: (714) 467-9816

Reviews and Comments

Occupational Therapist in Garden Grove, CA

Katy Schlossberg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12900b Garden Grove Blvd Ste 235, Garden Grove, CA 92843 Phone: 714-750-9700 Fax: 714-750-9797
Melinda Underwood, OTLP Occupational Therapist Medicare: Medicare Enrolled Practice Location: 9618 Garden Grove Blvd, Garden Grove, CA 92844 Phone: 714-530-3115
Ms. Tiffany Lui, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12900b Garden Grove Blvd Ste 235, Garden Grove, CA 92843 Phone: 714-750-9700 Fax: 714-750-9797
Danny Kang, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9828 Garden Grove Blvd, Suite 110, Garden Grove, CA 92844 Phone: 714-591-5853
Christina Shin, OTD, OTR/L, CLT-LANA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12786 Newhope St, Garden Grove, CA 92840 Phone: 949-866-3570
Duy Nguyen, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12662 Kathy Ln, Garden Grove, CA 92840 Phone: 714-204-8402

Kimmy Phan, - Medicare Occupational Therapist in Garden Grove, CA