ANDREW PHAN MD
NPI 1679102875
Family Medicine in Everett, WA

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment
3927 RUCKER AVE, EVERETT, WA 98201(425) 339-5422(425) 339-5444 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2023, Apr 8, 2020 (2 updates tracked since 2020).

About Andrew Phan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW PHAN MD (NPI 1679102875) is an individual family medicine provider in Everett, Washington, licensed in Washington (MD61431360) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of University Of Texas Medical School At Houston (2020).

NPPES Registry Identity

NPI1679102875
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANDREW PHANCredential: MD
Location Address3927 RUCKER AVEEverett, WA 98201-4833
Mailing Address1959 Ne Pacific St # 356560Seattle, WA 98195-6560 · (206) 543-3750 · Fax (206) 543-9520
Fax(425) 339-5444
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2020
Enumeration DateApril 8, 2020
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1679102875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61431360
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3927 RUCKER AVE, Everett, WA 98201

Secondary Practice Location 1

Location 11959 NE Pacific St # 356560Seattle, WA 98195-6560 · Phone (206) 543-3750 · Fax (206) 543-9520

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Phan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587064274
PECOS Enrollment IDI20231214002845
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Occupational Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Clinical Nurse Specialist (Medical-Surgical)
3927 RUCKER AVE
EVERETT, WA 98201
Internal Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Physical Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Physician Assistant (Medical)
3927 RUCKER AVE
EVERETT, WA 98201
Nurse Anesthetist, Certified Registered
3927 RUCKER AVE
EVERETT, WA 98201
Nurse Practitioner
3927 RUCKER AVE
EVERETT, WA 98201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Phan's NPI number?

The NPI number for Andrew Phan is 1679102875. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Andrew Phan located?

Andrew Phan practices at 3927 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 339-5422.

What is Andrew Phan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Andrew Phan enrolled in Medicare?

Yes. Andrew Phan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Phan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Phan was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.