Dhanasarn Mongkolsmai, MD - Internal Medicine in Bloomington, IL

Dhanasarn Mongkolsmai, MD is a Internal Medicine - Cardiovascular Disease physician based in Bloomington, Illinois. Dhanasarn Mongkolsmai is licensed to practice in Illinois (license number 036059806) and his current practice location is 2206 Berrywood Ln, Bloomington, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 662-2032.

NPI number for Dhanasarn Mongkolsmai is 1669756060 and his current mailing address is 2206 Berrywood Ln, Bloomington, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669756060.

Contact Information

Dhanasarn Mongkolsmai, MD
2206 Berrywood Ln,
Bloomington, IL 61704-2448
(309) 662-2032
Not Available

Map and Direction




Physician's Profile

Full NameDhanasarn Mongkolsmai
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location2206 Berrywood Ln, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1669756060
  • Provider Enumeration Date: 10/04/2011
  • Last Update Date: 10/04/2011

Medical Identifiers

Medical identifiers for Dhanasarn Mongkolsmai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669756060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036059806 (Illinois)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 036059806 (Illinois)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. Dhanasarn Mongkolsmai 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 AddressPractice Location Address
Dhanasarn Mongkolsmai, MD
2206 Berrywood Ln,
Bloomington, IL 61704-2448

Ph: (309) 662-2032
Dhanasarn Mongkolsmai, MD
2206 Berrywood Ln,
Bloomington, IL 61704-2448

Ph: (309) 662-2032

Reviews and Comments


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