Peter Pham, DO - Medicare Hospitalist in Bridgeton, NJ

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Peter Pham, DO is a medicare enrolled "Hospitalist" physician in Bridgeton, New Jersey. His current practice location is 29 Silver Brook Dr, Bridgeton, New Jersey. You can reach out to his office (for appointments etc.) via phone at (609) 805-6036.

Peter Pham is licensed to practice in New Jersey (license number 25MB09210600) 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 1063708576.

Contact Information

Peter Pham, DO
29 Silver Brook Dr,
Bridgeton, NJ 08302-9407
(609) 805-6036
Not Available



Physician's Profile

Full NamePeter Pham
GenderMale
SpecialityHospitalist
Location29 Silver Brook Dr, Bridgeton, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063708576
  • Provider Enumeration Date: 06/22/2011
  • Last Update Date: 10/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5092941286
  • Enrollment ID: I20131118000721

Medical Identifiers

Medical identifiers for Peter Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063708576NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 25MB09210600 (New Jersey)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. Peter Pham allows following entities to bill medicare on his behalf.
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20100126000693

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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. Peter 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
Peter Pham, DO
29 Silver Brook Dr,
Bridgeton, NJ 08302-9407

Ph: (609) 805-6036		Peter Pham, DO
29 Silver Brook Dr,
Bridgeton, NJ 08302-9407

Ph: (609) 805-6036

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Hospitalist Doctors in Bridgeton, NJ


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