Adisa Ratanasirintrawoot, in South Burlington, VT

Adisa Ratanasirintrawoot, is a medicare enrolled "Dentist - Periodontics" provider in South Burlington, Vermont. Her current practice location is 1775 Williston Rd, South Burlington, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 863-5447.

Adisa Ratanasirintrawoot is licensed to practice in Vermont (license number 016.0134058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619443546.

Contact Information

	Adisa Ratanasirintrawoot,
	1775 Williston Rd, South Burlington, VT 05403-6491
	(802) 863-5447
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Adisa Ratanasirintrawoot
Gender	Female
Speciality	Dentist - Periodontics
Location	1775 Williston Rd, South Burlington, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619443546
Provider Enumeration Date: 10/18/2018
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 4486049103
Enrollment ID: I20220316001347

Medical Identifiers

Medical identifiers for Adisa Ratanasirintrawoot such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619443546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	016.0134058 (Vermont)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adisa Ratanasirintrawoot is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Adisa Ratanasirintrawoot, 77 Pine St Apt 509, Burlington, VT 05401-5945 Ph: (857) 361-2255	Adisa Ratanasirintrawoot, 1775 Williston Rd, South Burlington, VT 05403-6491 Ph: (802) 863-5447

Reviews and Comments

Dentist in South Burlington, VT

Dr. Shon Christopher Diguglielmo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 60 Timber Ln, South Burlington, VT 05403 Phone: 802-864-6881 Fax: 802-862-8942
Dr. Liana Preto Webber, DDS, PHD Dentist Medicare: Medicare Enrolled Practice Location: 60 Timber Ln Ste 1, South Burlington, VT 05403 Phone: 802-864-6881
Julia Collins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1362 Williston Rd, South Burlington, VT 05403 Phone: 802-862-0927
Dr. Thomas J Ruescher, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 60 Timber Ln, South Burlington, VT 05403 Phone: 802-264-6909 Fax: 802-862-8942
Dr. Jonathan A Bloom, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 118 Tilley Dr Ste 101, South Burlington, VT 05403 Phone: 802-863-3950 Fax: 802-863-3601
Paul Gregory Boerman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 Timber Lane, South Burlington, VT 05403 Phone: 802-860-6725 Fax: 802-864-1511
Dr. David James Angus, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Kennedy Drive, Suite #5, South Burlington, VT 05403 Phone: 802-859-9441 Fax: 802-862-2424

Adisa Ratanasirintrawoot, - Medicare Dentist in South Burlington, VT