Terry Jay Pham, DDS in Marrero, LA - Medicare Dentist Provider

Terry Jay Pham, DDS is a medicare enrolled "Dentist" provider in Marrero, Louisiana. His current practice location is 5421 Lapalco Blvd, Marrero, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 348-0080.

Terry Jay Pham is licensed to practice in Louisiana (license number 6967) 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 1124685623.

Contact Information

	Terry Jay Pham, DDS
	5421 Lapalco Blvd, Marrero, LA 70072-4152
	(504) 348-0080
	Not Available

Healthcare Provider's Profile

Full Name	Terry Jay Pham
Gender	Male
Speciality	Dentist
Location	5421 Lapalco Blvd, Marrero, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124685623
Provider Enumeration Date: 05/21/2019
Last Update Date: 05/21/2019

Medicare PECOS Information:

PECOS PAC ID: 1951631555
Enrollment ID: I20190925000454

Medical Identifiers

Medical identifiers for Terry Jay Pham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124685623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6967 (Louisiana)	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. Terry Jay 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
Terry Jay Pham, DDS 4048 S Windmere St, Harvey, LA 70058-2238 Ph: () -	Terry Jay Pham, DDS 5421 Lapalco Blvd, Marrero, LA 70072-4152 Ph: (504) 348-0080

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Dentist in Marrero, LA

Dr. Kim Lagraize Bent, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 931 Westwood Dr, Suite I, Marrero, LA 70072 Phone: 504-340-9207 Fax: 504-340-1601
Dr. Keith Joseph Fabre Jr., D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2665 Barataria Blvd, Marrero, LA 70072 Phone: 504-348-4232 Fax: 504-348-8094
Dr. Erin Luft Katz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 931 Westwood Dr, #1, Marrero, LA 70072 Phone: 504-340-9207
Dr. Angel Haley Sylve, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2724 Ascension Ct, Marrero, LA 70072 Phone: 504-215-8488
Thuy Nguyen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5421 Lapalco Blvd, Marrero, LA 70072 Phone: 504-348-0080
Dr. Lacey Addison Andreotta, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7301 Westbank Expy, Marrero, LA 70072 Phone: 504-347-1014

Terry Jay Pham, DDS - Medicare Dentist in Marrero, LA