Banpote Poosuthasee, MD is a
Surgery physician based in Sebree, Kentucky. Banpote Poosuthasee is licensed to practice in Kentucky (license number 24993) and his current practice location is 47 W.webster Street, Sebree, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 835-7541.
NPI number for Banpote Poosuthasee is 1245349315 and his current mailing address is Po Box 426, Sebree, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245349315.
Physician's Profile
| Full Name | Banpote Poosuthasee |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
|---|
| Location | 47 W.webster Street, Sebree, Kentucky |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1245349315
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Banpote Poosuthasee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245349315 | NPI | - | NPPES |
| 000000049005 | Other | KY | ANTHEM BCBS |
| 198961 | Other | | BLACK LUNG |
| 64249931 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 24993 (Kentucky) | Primary |
| 208600000X | Surgery | 24993 (Kentucky) | 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. Banpote Poosuthasee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Banpote Poosuthasee, MD
Po Box 426,
Sebree, KY 42455-0426
Ph: (270) 835-7541 | Banpote Poosuthasee, MD
47 W.webster Street,
Sebree, KY 42455-0426
Ph: (270) 835-7541 |
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