Yutdhasak Kjornrattanawanich, DMD in Bristol, CT

Yutdhasak Kjornrattanawanich, DMD is a medicare enrolled "Dentist" provider in Bristol, Connecticut. His current practice location is 1128 Farmington Ave, Bristol, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 585-1716.

Yutdhasak Kjornrattanawanich is licensed to practice in Connecticut (license number 9427) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982766689.

Contact Information

	Yutdhasak Kjornrattanawanich, DMD
	1128 Farmington Ave, Bristol, CT 06010-4752
	(860) 585-1716
	(860) 585-1758

Map and Direction

Healthcare Provider's Profile

Full Name	Yutdhasak Kjornrattanawanich
Gender	Male
Speciality	Dentist
Location	1128 Farmington Ave, Bristol, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982766689
Provider Enumeration Date: 12/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648578476
Enrollment ID: I20160412001754

Medical Identifiers

Medical identifiers for Yutdhasak Kjornrattanawanich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982766689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	9427 (Connecticut)	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. Yutdhasak Kjornrattanawanich 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
Yutdhasak Kjornrattanawanich, DMD Po Box 3189, Syracuse, NY 13220-3189 Ph: (315) 454-6000	Yutdhasak Kjornrattanawanich, DMD 1128 Farmington Ave, Bristol, CT 06010-4752 Ph: (860) 585-1716

Reviews and Comments

Dentist in Bristol, CT

Dr. Michael Roy Ellis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 789 Farmington Ave, Bristol, CT 06010 Phone: 860-583-6056
Dr. Micheal Roger Marcotte, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5 Center St, Bristol, CT 06010 Phone: 860-589-3316 Fax: 860-584-8976
Dr. Matthew Timothy Goslee, DMD, MPH Dentist Medicare: Not Enrolled in Medicare Practice Location: 255 North Main St. C/o Dr. Matt Goslee, Posner And Turkus Dds, Bristol, CT 06010 Phone: 860-589-7170
Dr. Howard J Posner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 255 North Main Street, Posner & Turkus Dds Pc, Bristol, CT 06010 Phone: 860-589-7170 Fax: 860-582-0850
Dr. Wing H Ko, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Pleasant St, Bristol, CT 06010 Phone: 860-582-8095 Fax: 860-589-3675
Dr. Marc Henderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 255 North Main Street, Bristol, CT 06010 Phone: 860-589-7170 Fax: 860-582-0850
Dr. James D Affenito, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 391 Main St, Bristol, CT 06010 Phone: 860-589-1055 Fax: 860-585-0251

Yutdhasak Kjornrattanawanich, DMD - Medicare Dentist in Bristol, CT