Bordin Intachai, MD in Orange Park, FL - Medicare Family Medicine

Bordin Intachai, MD is a medicare enrolled "Family Medicine" physician in Orange Park, Florida. His current practice location is 2001 Kingsley Ave, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 639-2000.

Bordin Intachai is licensed to practice in Florida (license number ME158369) 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 1457980641.

Contact Information

	Bordin Intachai, MD
	2001 Kingsley Ave, Orange Park, FL 32073-5148
	(904) 639-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Bordin Intachai
Gender	Male
Speciality	Family Medicine
Location	2001 Kingsley Ave, Orange Park, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457980641
Provider Enumeration Date: 04/08/2020
Last Update Date: 08/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9335562354
Enrollment ID: I20230921003703

Medical Identifiers

Medical identifiers for Bordin Intachai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457980641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME158369 (Florida)	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. Bordin Intachai allows following entities to bill medicare on his behalf.

Entity Name	Inpatient Consultants Of Florida, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018

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. Bordin Intachai 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
Bordin Intachai, MD 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: () -	Bordin Intachai, MD 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-2000

Reviews and Comments

Family Medicine Doctors in Orange Park, FL

Larry Steven Garsha, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2858 Country Club Blvd, Orange Park, FL 32073 Phone: 904-579-4553
Barbara Leigh Cruikshank, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave Ste 200, Orange Park, FL 32073 Phone: 904-269-2900 Fax: 904-269-1140
Darby R Martin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 440 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-9293 Fax: 904-390-7492
William V Choisser, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073 Phone: 904-264-2297 Fax: 904-264-6266
Allison Dasta Butler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 Oakleaf Plantation Pkwy, Suite #108, Orange Park, FL 32065 Phone: 904-282-4565 Fax: 904-282-4225
Dr. Abdul A Qazizada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 865 Blanding Blvd, Orange Park, FL 32065 Phone: 904-276-1133 Fax: 904-276-1821
David Maynoldi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 Kingsley Ave, Orange Park, FL 32073 Phone: 877-842-4020 Fax: 877-842-4020

Bordin Intachai, MD - Medicare Family Medicine in Orange Park, FL