Dr Prayoon Prabharasuth, MD is a
Obstetrics & Gynecology physician based in Newfane, New York. Dr Prayoon Prabharasuth is licensed to practice in New York (license number 115344) and his current practice location is 2594 William St, Newfane, New York. He can be reached at his office (for appointments etc.) via phone at
(716) 778-7118.
NPI number for Dr Prayoon Prabharasuth is 1174508469 and his current mailing address is 2594 William St, Newfane, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174508469.
Physician's Profile
| Full Name | Dr Prayoon Prabharasuth |
|---|
| Gender | Male |
|---|
| Speciality | Obstetrics & Gynecology |
|---|
| Location | 2594 William St, Newfane, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174508469
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 05/18/2010
Medical Identifiers
Medical identifiers for Dr Prayoon Prabharasuth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174508469 | NPI | - | NPPES |
| 0028508 | Other | | GHI |
| 10200140 | Other | | FIDELIS |
| 00615027 | Medicaid | NY | |
| 80121005055741 | Other | | BSBC GENERAL MOTORS |
| 0004301613 | Other | | AETNA |
| 000505574001 | Other | NY | BCBS OF WNY |
| 00020503901 | Other | | UNIVERA HEALTHCARE |
| 0701266 | Other | | INDEPENDENT HEALTH ASSOCI |
| 161068845001 | Other | | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 115344 (New York) | 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 Prayoon Prabharasuth 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 Prayoon Prabharasuth, MD
2594 William St,
Newfane, NY 14108-1026
Ph: (716) 778-7118 | Dr Prayoon Prabharasuth, MD
2594 William St,
Newfane, NY 14108-1026
Ph: (716) 778-7118 |
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