Thanh Kim Pham, DDS - Medicare Dentist in San Bernardino, CA

Thanh Kim Pham, DDS is a medicare enrolled "Dentist - General Practice" provider in San Bernardino, California. Her current practice location is 355 East 21st, Ste B, San Bernardino, California. You can reach out to her office (for appointments etc.) via phone at (909) 881-5787.

Thanh Kim Pham is licensed to practice in California (license number 44352) 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 1134287667.

Contact Information

Thanh Kim Pham, DDS
355 East 21st, Ste B,
San Bernardino, CA 92404
(909) 881-5787
(909) 881-6855



Healthcare Provider's Profile

Full NameThanh Kim Pham
GenderFemale
SpecialityDentist - General Practice
Location355 East 21st, San Bernardino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134287667
  • Provider Enumeration Date: 12/05/2006
  • Last Update Date: 09/12/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8123326840
  • Enrollment ID: I20160413002031

Medical Identifiers

Medical identifiers for Thanh Kim Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134287667NPI-NPPES
B4435201OtherCADENTICAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 44352 (California)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. Thanh Kim 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 AddressPractice Location Address
Thanh Kim Pham, DDS
355 East 21st, Ste B,
San Bernardino, CA 92404

Ph: (909) 881-5787
Thanh Kim Pham, DDS
355 East 21st, Ste B,
San Bernardino, CA 92404

Ph: (909) 881-5787

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Dentist in San Bernardino, CA

Dr. Audrey Maxine Martin, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5905 Laura Ln, San Bernardino, CA 92407
Phone: 909-880-8457    Fax: 909-880-8457
Han You Kim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 164 W Hospitality Ln Ste 127, San Bernardino, CA 92408
Phone: 909-453-6600    
Saman Ghaemmaghami, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4016 University Pkwy, San Bernardino, CA 92407
Phone: 909-880-1600    
Tao Li, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2210 E Highland Ave, Suite 108, San Bernardino, CA 92404
Phone: 909-864-8123    
Dr. Alejandra Corpus Galindo-magallanes, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 740 W 3rd St, San Bernardino, CA 92410
Phone: 909-888-3688    Fax: 909-884-6377
Dr. Dat Minh Vo, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1470 E Highland Ave, Suite D, San Bernardino, CA 92404
Phone: 909-883-6400    Fax: 909-883-3269
Tzu-fei Chang, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1199 N E St, San Bernardino, CA 92410
Phone: 909-345-2060    

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