Dr. Jennifer Lee Pham
M.D. | Pediatric Critical Care Medicine | Female
Dr. Jennifer Lee Pham, M.D. is a Milwaukee, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Jennifer Lee Pham is
9000 W Wisconsin Ave, Milwaukee, Wisconsin - 53226. She can be contacted on phone at
414-266-3360 and fax number 414-266-3563.
Dr. Jennifer Lee Pham is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Jennifer Lee Pham is
1245527043 which was assigned by NPPES on 30 Jun, 2011 and it was last updated on 10 Jul, 2018.
Dr. Jennifer Lee Pham license number is
69153 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Wisconsin.
Dr. Jennifer Lee Pham is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Jennifer Lee Pham basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Jennifer Lee Pham |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Jennifer Lee Pham address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9000 W Wisconsin Ave
Milwaukee, WI, 53226
United States |
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| Phone Number : | 414-266-3360 |
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| Fax Number : | 414-266-3563 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1245527043 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Jun, 2011 |
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| Last Updated On : | 10 Jul, 2018 |
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Medicare Participation:
Dr. Jennifer Lee Pham participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7810112869 |
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| Medicare Enrollment ID : | I20190917004297 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2011 |
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| Accepts Medicare? | May accept. Dr. Jennifer Lee Pham may accepts medicare insurance. |
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Group Practice Association:
Dr. Jennifer Lee Pham is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jennifer Lee Pham is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| | | 3186 S Maryland Pkwy
Las Vegas, NV - 891092317
Ph: 7027318000 | May accept |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jennifer Lee Pham are as mentioned. Primary taxonomy code for Dr. Jennifer Lee Pham, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 6601 | NE |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 69153 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jennifer Lee Pham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1245527043 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1 CHILDRENS WAY # 512-12,
LITTLE ROCK, AR, 72202-3500
United States | LITTLE ROCK, AR | 501-364-1100 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9000 W Wisconsin Ave
Milwaukee, WI, 53226-4874
United States |
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| Phone Number : | 414-266-3360 |
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| Fax Number : | 414-266-3563 |
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Business Location:
Patients can refer following map for directions to
Dr. Jennifer Lee Pham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.