Dr Billy Pitapong Vanasupa, DO is a medicare enrolled "Urology" physician in Saint Augustine, Florida. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. He is a member of the group practice Advanced Urology Institute Llc and his current practice location is
240 Southpark Cir E, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 824-1450.
Dr Billy Pitapong Vanasupa is licensed to practice in Florida (license number OS14893) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689774507.
Physician's Profile
| Full Name | Dr Billy Pitapong Vanasupa |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 27 Years |
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| Location | 240 Southpark Cir E, Saint Augustine, Florida |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Billy Pitapong Vanasupa attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1997
NPI Data:
- NPI Number: 1689774507
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850422981
- Enrollment ID: I20180725001231
Medical Identifiers
Medical identifiers for Dr Billy Pitapong Vanasupa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689774507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | OS14893 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Urology Institute Llc | 2163653585 | 114 |
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. Dr Billy Pitapong Vanasupa allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Urology Institute Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023447935
PECOS PAC ID: 2163653585
Enrollment ID: O20140328000990 |
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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. Dr Billy Pitapong Vanasupa 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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Dr Billy Pitapong Vanasupa, DO
12109 County Road 103,
Oxford, FL 34484-2951
Ph: (352) 205-8981 | Dr Billy Pitapong Vanasupa, DO
240 Southpark Cir E,
Saint Augustine, FL 32086-5137
Ph: (904) 824-1450 |
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