Juthamas Kositsawat, - Medicare Obstetrics/gynecology in Loma Linda, CA

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Juthamas Kositsawat, is a medicare enrolled "Obstetrics & Gynecology" physician in Loma Linda, California. She went to Loma Linda University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm, Sac Health System and her current practice location is 11370 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-2806.

Juthamas Kositsawat is licensed to practice in California (license number A139735) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104246016.

Contact Information

Juthamas Kositsawat,
11370 Anderson St,
Loma Linda, CA 92354
(909) 558-2806
Not Available

Map and Direction




Physician's Profile

Full NameJuthamas Kositsawat
GenderFemale
SpecialityObstetrics/gynecology
Experience10 Years
Location11370 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Juthamas Kositsawat attended and graduated from Loma Linda University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1104246016
  • Provider Enumeration Date: 04/17/2014
  • Last Update Date: 09/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3779835590
  • Enrollment ID: I20181005001919

Medical Identifiers

Medical identifiers for Juthamas Kositsawat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104246016NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology A139735 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Faculty Physicians And Surgeons Of Llusm11532278141065
Sac Health System4385533579169

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. Juthamas Kositsawat allows following entities to bill medicare on her behalf.
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameSac Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013935923
PECOS PAC ID: 4385533579
Enrollment ID: O20040315000608

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. Juthamas Kositsawat 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 AddressPractice Location Address
Juthamas Kositsawat,
File Number 54701,
Los Angeles, CA 90074-4701

Ph: () -		Juthamas Kositsawat,
11370 Anderson St,
Loma Linda, CA 92354

Ph: (909) 558-2806

Reviews and Comments


Obstetrics & Gynecology Doctors in Loma Linda, CA

Samira Monavvari, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Danielle C.a. Sawyer-macknet, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 25805 Barton Rd, Suite 107, Loma Linda, CA 92354
Phone: 909-478-7700    Fax: 909-478-7705
Dr. Tiare Nicole Evans, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Kevin C Balli, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Hermina Salvador, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    
Ai-mae Chee Watkins, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 11370 Anderson St, Ste 3900, Loma Linda, CA 92354
Phone: 909-558-2806    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.