Rupporn Priyawat, in Chino Hills, CA - Medicare Dentist Provider

Rupporn Priyawat, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Chino Hills, California. Her current practice location is 15911 Pomona Rincon Rd Ste 120, Chino Hills, California. You can reach out to her office (for appointments etc.) via phone at (909) 497-9449.

Rupporn Priyawat is licensed to practice in California (license number 61647) 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 1033453667.

Contact Information

	Rupporn Priyawat,
	15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709-5567
	(909) 497-9449
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rupporn Priyawat
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	15911 Pomona Rincon Rd Ste 120, Chino Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033453667
Provider Enumeration Date: 11/20/2012
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0244545739
Enrollment ID: I20230912003267

Medical Identifiers

Medical identifiers for Rupporn Priyawat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033453667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	61647 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	61647 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rupporn Priyawat allows following entities to bill medicare on her behalf.

Entity Name	Priyawat And Kim Dental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801461561 PECOS PAC ID: 6406219450 Enrollment ID: O20230824000888

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. Rupporn Priyawat 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
Rupporn Priyawat, 264 Desert Bloom, Irvine, CA 92618-8872 Ph: (951) 999-1239	Rupporn Priyawat, 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709-5567 Ph: (909) 497-9449

Reviews and Comments

Dentist in Chino Hills, CA

Alexander Santos X, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4183 Chino Hills Pkwy Ste H, Chino Hills, CA 91709 Phone: 909-393-5300
Dr. Dillon Pingchuen Yap, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14270 Chino Hills Pkwy, Chino Hills, CA 91709 Phone: 909-590-2229
Maria Kim, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 15911 Pomona Rincon Rd Ste 120, Chino Hills, CA 91709 Phone: 909-497-9449
Sung W Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15870 Soquel Canyon Pkwy Ste I, Chino Hills, CA 91709 Phone: 909-393-1388 Fax: 909-393-7588
Danny Cho, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709 Phone: 909-393-5456
Dr. Jeffrey Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4200 Chino Hills Pkwy Ste 880, Chino Hills, CA 91709 Phone: 909-393-5456

Rupporn Priyawat, - Medicare Dentist in Chino Hills, CA