Chaivat Phuvadakorn, MD in Los Angeles, CA - Medicare Internal Medicine

Chaivat Phuvadakorn, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Los Angeles, California. His current practice location is 351 E Temple St, Mail Code Laacc Home Based Primary Care A127a, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 253-5018.

Chaivat Phuvadakorn is licensed to practice in California (license number 122504) 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 1164793816.

Contact Information

	Chaivat Phuvadakorn, MD
	351 E Temple St, Mail Code Laacc Home Based Primary Care A127a, Los Angeles, CA 90012-3328
	(213) 253-5018
	(213) 253-5018

Map and Direction

Physician's Profile

Full Name	Chaivat Phuvadakorn
Gender	Male
Speciality	Internal Medicine - Geriatric Medicine
Location	351 E Temple St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164793816
Provider Enumeration Date: 01/25/2012
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6709190614
Enrollment ID: I20230525000073

Medical Identifiers

Medical identifiers for Chaivat Phuvadakorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164793816	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A122504 (California)	Secondary
207RG0300X	Internal Medicine - Geriatric Medicine	122504 (California)	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. Chaivat Phuvadakorn 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
Chaivat Phuvadakorn, MD 1322 E Maple St, Glendale, CA 91205-2607 Ph: (424) 236-2767	Chaivat Phuvadakorn, MD 351 E Temple St, Mail Code Laacc Home Based Primary Care A127a, Los Angeles, CA 90012-3328 Ph: (213) 253-5018

Reviews and Comments

Internal Medicine Doctors in Los Angeles, CA

Dr. Linda Fong, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-3290
Dr. Robert Peter Gale, Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 11693 San Vicente Blvd, Suite 335, Los Angeles, CA 90049 Phone: 310-442-9010
Dr. Tarek Alasil, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8616 La Tijera Blvd Ste 404, Los Angeles, CA 90045 Phone: 310-673-2020 Fax: 310-469-5290
David Michael Tellalian, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 8635 W 3rd St Ste 465w, Los Angeles, CA 90048 Phone: 310-358-2300 Fax: 310-358-2308
Dr. Jan B King, M.D., M.P.H. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 11833 Wilmington Ave Fl 2, Los Angeles, CA 90059 Phone: 323-568-8701
Dr. Caroline Hwang, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St, Suite 1000, Los Angeles, CA 90033 Phone: 323-442-5100
Dr. Jennifer A Fulcher, M.D., PH.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 10833 Le Conte Ave, Chs 37-121, Los Angeles, CA 90095 Phone: 310-825-7225

Chaivat Phuvadakorn, MD - Medicare Internal Medicine in Los Angeles, CA