Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miadette Pheng-Phal, NP-C

Individual provider Primary Care Nurse Practitioner · NPI 1073044616

Miadette Pheng-Phal, NP-C is a Nurse Practitioner in Lynn, Massachusetts. Qualified in 2016, 10 years ago. Practices with Bayon Medical Group, LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
10
Licensed in
MA
In the registry since
2017
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

269 Union St
Lynn, MA 01901-1314
Phone: (781) 581-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence RN2270203 (MA)

Record details

NPI number1073044616
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 24, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Bayon Medical Group, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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