Alisa Thavikulwat, - Medicare Ophthalmology in Glenn Dale, MD

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Alisa Thavikulwat, is a medicare enrolled "Ophthalmology" physician in Glenn Dale, Maryland. She went to University Of Rochester School Of Medicine And Dentistry and graduated in 2015 and has 9 years of diverse experience with area of expertise as Ophthalmology. She is a member of the group practice Visionmd, Llc and her current practice location is 12150 Annapolis Rd Ste 111, Glenn Dale, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 779-0844.

Alisa Thavikulwat is licensed to practice in Maryland (license number D0087217) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265827745.

Contact Information

Alisa Thavikulwat,
12150 Annapolis Rd Ste 111,
Glenn Dale, MD 20769-9183
(301) 779-0844
Not Available

Map and Direction




Physician's Profile

Full NameAlisa Thavikulwat
GenderFemale
SpecialityOphthalmology
Experience9 Years
Location12150 Annapolis Rd Ste 111, Glenn Dale, Maryland
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alisa Thavikulwat attended and graduated from University Of Rochester School Of Medicine And Dentistry in 2015
  NPI Data:
  • NPI Number: 1265827745
  • Provider Enumeration Date: 04/01/2015
  • Last Update Date: 09/24/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002102175
  • Enrollment ID: I20200901001539

Medical Identifiers

Medical identifiers for Alisa Thavikulwat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265827745NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology D0087217 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Visionmd, Llc28607326094

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. Alisa Thavikulwat allows following entities to bill medicare on her behalf.
Entity NameVisionmd, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801381884
PECOS PAC ID: 2860732609
Enrollment ID: O20190314000875

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. Alisa Thavikulwat 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 AddressPractice Location Address
Alisa Thavikulwat,
1855 W Taylor St, Department Of Ophthalmology,
Chicago, IL 60612-7242

Ph: () -		Alisa Thavikulwat,
12150 Annapolis Rd Ste 111,
Glenn Dale, MD 20769-9183

Ph: (301) 779-0844

Reviews and Comments


Ophthalmology Doctors in Glenn Dale, MD

Renee C Bovelle, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769
Phone: 301-805-4664    Fax: 301-805-4663

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.