Dr Somporn Puangsuvan, MD is a
Surgery physician based in Caruthersville, Missouri. Dr Somporn Puangsuvan is licensed to practice in Missouri (license number R7161) and his current practice location is 106 W 12th St, Caruthersville, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 333-1124.
NPI number for Dr Somporn Puangsuvan is 1821191107 and his current mailing address is Po Box1155, 418 Ward Avenue, Caruthersville, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821191107.
Physician's Profile
| Full Name | Dr Somporn Puangsuvan |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 106 W 12th St, Caruthersville, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1821191107
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 04/22/2014
Medical Identifiers
Medical identifiers for Dr Somporn Puangsuvan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821191107 | NPI | - | NPPES |
| 200217818 | Medicaid | MO | |
| 826021923 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | R7161 (Missouri) | 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 Somporn Puangsuvan 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 Somporn Puangsuvan, MD
Po Box1155, 418 Ward Avenue,
Caruthersville, MO 63830
Ph: (573) 333-0156 | Dr Somporn Puangsuvan, MD
106 W 12th St,
Caruthersville, MO 63830-1890
Ph: (573) 333-1124 |
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