Individual ProviderEmily PhanPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address250 E Dunlap Ave, Phoenix, AZ 85020-2825(480) 331-6721PECOS EnrollmentBased on the most recent information from CMS, provider Emily Phan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1841004322Provider TypeIndividualFull NamePhan, EmilyCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date2/4/2025Last Updated8/21/2025Contact InformationPractice LocationPractice Address250 E Dunlap Ave, Phoenix, AZ 85020-2825Phone(480) 331-6721Fax(602) 296-7738Mailing LocationMailing Address111 E Dunlap Ave Ste I-279, Phoenix, AZ 85020-2807Phone(480) 331-6721Fax(602) 296-7738Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense10999Arizona