Tom Long Hoang Phan, DPT PT - Medicare Physical Therapist in St Augustine, FL

Tom Long Hoang Phan, DPT PT is a medicare enrolled "Physical Therapist" provider in St Augustine, Florida. His current practice location is 1 University Blvd, St Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 829-3411.

Tom Long Hoang Phan is licensed to practice in Florida (license number PT32562) 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 1114455458.

Contact Information

Tom Long Hoang Phan, DPT PT
1 University Blvd,
St Augustine, FL 32086-5799
(904) 829-3411
(904) 829-3412



Healthcare Provider's Profile

Full NameTom Long Hoang Phan
GenderMale
SpecialityPhysical Therapist
Location1 University Blvd, St Augustine, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114455458
  • Provider Enumeration Date: 05/31/2017
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587936059
  • Enrollment ID: I20170817002321

Medical Identifiers

Medical identifiers for Tom Long Hoang Phan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114455458NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT32562 (Florida)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. Tom Long Hoang Phan 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 Long Hoang Phan, DPT PT
4539 S Dale Mabry Hwy, Ste 110,
Tampa, FL 33611-1404

Ph: (904) 829-3411
Tom Long Hoang Phan, DPT PT
1 University Blvd,
St Augustine, FL 32086-5799

Ph: (904) 829-3411

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› Verified 3 days ago


Physical Therapist in St Augustine, FL

Angela Marie Cicchino, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1 University Blvd, St Augustine, FL 32086
Phone: 904-829-3411    Fax: 904-829-3412
Mr. Stephen A Vighetti, PT, MTC, CSCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084
Phone: 904-315-3416    
Dr. David Anthony Eldridge, D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086
Phone: 904-825-0540    Fax: 904-825-2490
Erica J Kiernan, PT/OT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086
Phone: 904-217-4259    Fax: 904-217-4251
Jerry Worley, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086
Phone: 904-687-9880    
Joseph R Edwards, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 968 Espinado Avenue, St Augustine, FL 32086
Phone: 954-805-0655    
Kaleb Griffel, DPT PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1 University Blvd, St Augustine, FL 32086
Phone: 904-829-3411    Fax: 904-829-3412

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