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JEANNIE PHAM MD
NPI 1720271430
Psychiatry & Neurology - Child & Adolescent Psychiatry in Frederick, MD

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
604 SOLAREX CT UNIT 201, FREDERICK, MD 21703(301) 663-8263(301) 682-5326 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jeannie Pham Md NPPES

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

JEANNIE PHAM MD (NPI 1720271430) is an individual child & adolescent psychiatry provider in Frederick, Maryland, licensed in Maryland (D67481) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2003).

NPPES Registry Identity

NPI1720271430
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJEANNIE PHAMCredential: MD
Location Address604 SOLAREX CT UNIT 201Frederick, MD 21703-8655
Mailing Address604 Solarex Ct Unit 201Frederick, MD 21703-8655 · (301) 663-8263 · Fax (301) 682-5326
Phone(301) 663-8263
Fax(301) 682-5326
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2003
Enumeration DateAugust 27, 2007
Last NPPES UpdateJune 18, 2020
NPPES CertifiedJune 18, 2020
✔ NPI 1720271430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D67481
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License D67481 (MD)
604 SOLAREX CT UNIT 201, Frederick, MD 21703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeannie Pham 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 ID9032285317
PECOS Enrollment IDI20080910000543
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeannie Pham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Way Station, Inc.
1.4 mi
Rehabilitation, Substance Use Disorder
228 W PATRICK ST
Frederick, MD 21701
  • Reassigned Medicare billing, Maryland enrollment
  • 132 clinicians in this Medicare group
NPI 1114498300 (301) 662-0099
Mosaic Community Services, Inc.
1.4 mi
Mental Health (Including Community Mental Health Center)
210 ABRECHT PL
Frederick, MD 21701
  • Reassigned Medicare billing, Maryland enrollment
  • 143 clinicians in this Medicare group
NPI 1073369591 (301) 663-8263
Family Services, Inc
22 mi
Child & Adolescent Psychiatry
610 E DIAMOND AVE, SUITE 100
Gaithersburg, MD 20877
  • Reassigned Medicare billing, District of Columbia enrollment
  • 106 clinicians in this Medicare group
NPI 1780641928 (301) 840-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

RAVIPREET SINGH GOSAL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (301) 663-3189
ALEXANDRA NICOLE CHINN LMSW
Social Worker
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (301) 663-8263
ANGELINE RICHARDS LCSW-C
Social Worker (Clinical)
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (240) 344-7913
REBEKAH LEANNE HAGAN LCSW-C
Social Worker (Clinical)
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (301) 663-8263
EMILY CHRISTINE MOATS LMSW
Social Worker
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (301) 663-8263
MISS HALI WATSON LCPC, LGPAT
Counselor (Professional)
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (443) 615-6185
HILLARY F. MALLETTE LCSW-C
Social Worker (Clinical)
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (301) 663-8263
HANNAH G SCHWARTZ
Social Worker
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703
Frederick County (301) 663-8263

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 Jeannie Pham's NPI number?

The NPI number for Jeannie Pham is 1720271430. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Jeannie Pham located?

Jeannie Pham practices at 604 Solarex Ct Unit 201, Frederick, MD 21703. The listed phone number is (301) 663-8263.

What is Jeannie Pham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jeannie Pham enrolled in Medicare?

Yes. Jeannie Pham 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.

Which organizations bill Medicare for Jeannie Pham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannie Pham reassigns Medicare benefits to 3 organizations: Way Station, Inc. (Frederick, MD), Mosaic Community Services, Inc. (Frederick, MD) and Family Services, Inc (Gaithersburg, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeannie Pham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeannie Pham was last updated on June 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.