Dr Chaninthorn Setabutr, MD is a
Pediatrics physician based in Jasper, Texas. Dr Chaninthorn Setabutr is licensed to practice in Texas (license number G1273) and her current practice location is 605 W Gibson St, Jasper, Texas. She can be reached at her office (for appointments etc.) via phone at
(409) 384-3478.
NPI number for Dr Chaninthorn Setabutr is 1669464269 and her current mailing address is 605 W Gibson St, Jasper, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669464269.
Physician's Profile
| Full Name | Dr Chaninthorn Setabutr |
|---|
| Gender | Female |
|---|
| Speciality | Pediatrics |
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| Location | 605 W Gibson St, Jasper, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669464269
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Chaninthorn Setabutr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669464269 | NPI | - | NPPES |
| 00NA48 | Other | TX | BCBS IDENTIFIER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | G1273 (Texas) | 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. Dr Chaninthorn Setabutr 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 |
|---|
Dr Chaninthorn Setabutr, MD
605 W Gibson St,
Jasper, TX 75951-4909
Ph: (409) 384-3478 | Dr Chaninthorn Setabutr, MD
605 W Gibson St,
Jasper, TX 75951-4909
Ph: (409) 384-3478 |
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