JEREMY PHAN MS
NPI 1851030126
Counselor - Mental Health in Wake Forest, NC
About Jeremy Phan Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY PHAN MS (NPI 1851030126) is an individual mental health provider in Wake Forest, North Carolina, licensed in North Carolina (17961) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Youngsville, and is a graduate of Liberty Univ College Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Jeremy Phan Ms 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAKE FOREST, NC 27587
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 Jeremy Phan's NPI number?
The NPI number for Jeremy Phan is 1851030126. It was assigned to this individual provider in the NPPES registry on June 3, 2022.
Where is Jeremy Phan located?
Jeremy Phan practices at 2006 S Main St Ste 206, Wake Forest, NC 27587. The listed phone number is (919) 671-6438.
What is Jeremy Phan's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jeremy Phan enrolled in Medicare?
Yes. Jeremy 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 Jeremy Phan accept?
Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Jeremy 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 Jeremy Phan was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Jeremy Phan, MS · NPI 1851030126
Mental Health provider in Wake Forest, North Carolina. Individual provider, active in the CMS NPPES registry since June 3, 2022.
## Identity
- **NPI:** 1851030126 (Entity type: Individual)
- **Enumerated:** June 3, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 17961 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2006 S MAIN ST STE 206, Wake Forest, NC 27587-9391
- **Phone:** (919) 671-6438
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Liberty Univ College Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** December 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1851030126) · Data from the CMS NPPES public registry.