Anutida Charoentong, is a medicare enrolled "Internal Medicine" physician in Purvis, Mississippi. She went to William Carey University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Hattiesburg Clinic, Pa and her current practice location is
102 Shelby Speights Dr, Purvis, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 794-8065.
Anutida Charoentong is licensed to practice in Mississippi (license number 27867) 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 1013442904.
Physician's Profile
| Full Name | Anutida Charoentong |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 7 Years |
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| Location | 102 Shelby Speights Dr, Purvis, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anutida Charoentong attended and graduated from William Carey University College Of Osteopathic Medicine in 2017
NPI Data:
- NPI Number: 1013442904
- Provider Enumeration Date: 04/27/2017
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264857754
- Enrollment ID: I20200730002725
Medical Identifiers
Medical identifiers for Anutida Charoentong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013442904 | NPI | - | NPPES |
| 03553252 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 27867 (Mississippi) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hattiesburg Clinic, Pa | 5193706794 | 488 |
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. Anutida Charoentong allows following entities to bill medicare on her behalf.
| Entity Name | Hattiesburg Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685 |
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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. Anutida Charoentong 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 |
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Anutida Charoentong,
415 S 28th Ave,
Hattiesburg, MS 39401-7246
Ph: (601) 579-5444 | Anutida Charoentong,
102 Shelby Speights Dr,
Purvis, MS 39475-4151
Ph: (601) 794-8065 |
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