Pham Medical Associates Pc is a medicare enrolled primary clinic (Internal Medicine) in West Roxbury, Massachusetts. The current practice location for Pham Medical Associates Pc is 1996 Centre St, West Roxbury, Massachusetts. For appointments, you can reach them via phone at
(617) 469-0470. The mailing address for Pham Medical Associates Pc is Po Box 9137, Brookline, Massachusetts and phone number is (800) 927-0002.
Pham Medical Associates Pc is licensed to practice in Massachusetts (license number ). The clinic also participates in the medicare program and its
NPI number is 1316924863. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(617) 469-0470.
Primary Care Clinic Profile
| Full Name | Pham Medical Associates Pc |
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| Speciality | Internal Medicine |
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| Location | 1996 Centre St, West Roxbury, Massachusetts |
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| Authorized Official Name and Position | Dominique Pham (PRESIDENT) |
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| Authorized Official Contact | 8009270002 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pham Medical Associates Pc
Po Box 9137
Brookline
MA 02446-9137
Ph: (800) 927-0002 | Pham Medical Associates Pc
1996 Centre St
West Roxbury
MA 02132-3329
Ph: (617) 469-0470 |
NPI Details:
| NPI Number | 1316924863 |
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| Provider Enumeration Date | 12/27/2005 |
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| Last Update Date | 01/14/2010 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3870569007 |
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| Medicare Enrollment ID | O20040908001228 |
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Medical Identifiers
Medical identifiers for Pham Medical Associates Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316924863 | NPI | - | NPPES |
| 9733710 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pham Medical Associates Pc acts as a billing entity for following providers:
| Provider Name | Dominique Pham |
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| Provider Type | Practitioner - Gastroenterology |
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| Provider Identifiers | NPI Number: 1891776662
PECOS PAC ID: 6406822634
Enrollment ID: I20040908001271 |
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