Tom Pham, MD - Medicare Pediatrics in New Berlin, WI

Tom Pham, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in New Berlin, Wisconsin. His current practice location is 4855 S Moorland Rd Fl 3, New Berlin, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 432-7599.

Tom Pham is licensed to practice in Texas (license number T7331) 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 1366939795.

Contact Information

Tom Pham, MD
4855 S Moorland Rd Fl 3,
New Berlin, WI 53151-7494
(262) 432-7599
(262) 432-7694



Physician's Profile

Full NameTom Pham
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location4855 S Moorland Rd Fl 3, New Berlin, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366939795
  • Provider Enumeration Date: 04/20/2018
  • Last Update Date: 12/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416325493
  • Enrollment ID: I20221122003513

Medical Identifiers

Medical identifiers for Tom Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366939795NPI-NPPES
1366939795MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 75525 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine T7331 (Texas)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. Tom Pham allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Texas Southwestern Medical Center At Dallas
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972579365
PECOS PAC ID: 0648188250
Enrollment ID: O20031106000792

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› Verified 3 days ago

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. Tom 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
Tom Pham, MD
Po Box 845347,
Dallas, TX 75284-5347

Ph: (214) 476-8559
Tom Pham, MD
4855 S Moorland Rd Fl 3,
New Berlin, WI 53151-7494

Ph: (262) 432-7599

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Pediatrics Doctors in New Berlin, WI

Dr. Carl J Peluso, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Benjamin Landgraf,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd Ste 250, New Berlin, WI 53151
Phone: 262-789-6020    Fax: 262-789-6025
Sadia T Ansari, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Dr. Olubunmi Abiola Olorundami, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, Urgent Care Clinic - 3rd Floor, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Michael Gutzeit, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd Ste 250, New Berlin, WI 53151
Phone: 262-789-6020    Fax: 262-789-6025
Chris M Zukowski, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151
Phone: 414-425-5660    Fax: 414-425-9803
Alina Huang, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694

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