Dr Kavid Udompanyanan, MD in Los Angeles, CA - Medicare Emergency Medicine

Dr Kavid Udompanyanan, MD is a medicare enrolled "Emergency Medicine" physician in Los Angeles, California. His current practice location is 10833 Le Conte Ave, Emergency Department, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (408) 627-5377.

Dr Kavid Udompanyanan is licensed to practice in California (license number 98756) 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 1861523987.

Contact Information

	Dr Kavid Udompanyanan, MD
	10833 Le Conte Ave, Emergency Department, Los Angeles, CA 90095-3075
	(408) 627-5377
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kavid Udompanyanan
Gender	Male
Speciality	Emergency Medicine
Location	10833 Le Conte Ave, 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: 1861523987
Provider Enumeration Date: 03/08/2007
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4183787542
Enrollment ID: I20090110000190

Medical Identifiers

Medical identifiers for Dr Kavid Udompanyanan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861523987	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	98756 (California)	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. Dr Kavid Udompanyanan allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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 Kavid Udompanyanan 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
Dr Kavid Udompanyanan, MD 10833 Le Conte Ave, Emergency Department, Los Angeles, CA 90095-3075 Ph: (408) 627-5377	Dr Kavid Udompanyanan, MD 10833 Le Conte Ave, Emergency Department, Los Angeles, CA 90095-3075 Ph: (408) 627-5377

Reviews and Comments

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Dr Kavid Udompanyanan, MD - Medicare Emergency Medicine in Los Angeles, CA