Ethan Pham, - Medicare Physician Assistant in Tempe, AZ

Ethan Pham, is a medicare enrolled "Physician Assistant" in Tempe, Arizona. His current practice location is 1030 E Guadalupe Rd, Tempe, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 491-1898.

Ethan Pham 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 1144954488.

Contact Information

Ethan Pham,
1030 E Guadalupe Rd,
Tempe, AZ 85283-3044
(480) 491-1898
Not Available



Provider's Profile

Full NameEthan Pham
GenderMale
SpecialityPhysician Assistant
Location1030 E Guadalupe Rd, Tempe, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144954488
  • Provider Enumeration Date: 07/12/2022
  • Last Update Date: 12/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092165753
  • Enrollment ID: I20231221002630

Medical Identifiers

Medical identifiers for Ethan Pham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144954488NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363A00000XPhysician Assistant (* (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. Ethan 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
Ethan Pham,
2722 N 7th St Unit 8,
Phoenix, AZ 85006-1067

Ph: (714) 908-6037
Ethan Pham,
1030 E Guadalupe Rd,
Tempe, AZ 85283-3044

Ph: (480) 491-1898

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› Verified 9 days ago


Physician Assistant Nurses in Tempe, AZ

Elizabeth Marie Patterson, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2127 E Baseline Rd Ste 104, Tempe, AZ 85283
Phone: 480-897-7070    Fax: 480-897-2597
Phillip Veatch, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2034 E Southern Ave Ste O, Tempe, AZ 85282
Phone: 480-400-6225    Fax: 480-718-8709
Jennifer Gibler, P.A.-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 6301 S Mcclintock Dr, #101, Tempe, AZ 85283
Phone: 480-214-2300    Fax: 480-214-2301
Mrs. Dana Roberts Cohen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1315 W. Southern Ave, Tempe, AZ 85282
Phone: 480-718-1280    Fax: 480-718-1281
Michael Timothy Kelley, M.S. PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6625 S Rural Rd Ste 104, Tempe, AZ 85283
Phone: 480-833-4515    Fax: 480-833-5078
Catharine Parker, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 914 N Scottsdale Rd, Tempe, AZ 85281
Phone: 800-819-8566    
Kyra Rene Witbeck, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1500 S Mill Ave, Tempe, AZ 85281
Phone: 480-784-5500    

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