Cameron Phen, in Lincoln, CA - Medicare Student in an Organized Health Care Education/Training Program Provider

Cameron Phen, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Lincoln, California. His current practice location is 688 Cabra St, Lincoln, California. You can reach out to his office (for appointments etc.) via phone at (916) 899-8386.

Cameron Phen is licensed to practice in * (Not Available) (license number ) 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 1750072435.

Contact Information

	Cameron Phen,
	688 Cabra St, Lincoln, CA 95648-8841
	(916) 899-8386
	Not Available

Healthcare Provider's Profile

Full Name	Cameron Phen
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	688 Cabra St, Lincoln, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750072435
Provider Enumeration Date: 05/15/2023
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3870954068
Enrollment ID: I20230803004001

Medical Identifiers

Medical identifiers for Cameron Phen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750072435	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D11858 (Oregon)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Cameron Phen 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
Cameron Phen, 688 Cabra St, Lincoln, CA 95648-8841 Ph: () -	Cameron Phen, 688 Cabra St, Lincoln, CA 95648-8841 Ph: (916) 899-8386

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Cameron Phen, - Medicare in Lincoln, CA