Khongruk Wongkittiroch, DO - Medicare Dermatology in Fort Lauderdale, FL

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Khongruk Wongkittiroch, DO is a medicare enrolled "Dermatology" physician in Fort Lauderdale, Florida. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Skin And Cancer Associates and her current practice location is 2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 564-0040.

Khongruk Wongkittiroch is licensed to practice in Florida (license number OS11792) 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 1205003068.

Contact Information

Khongruk Wongkittiroch, DO
2838 E Oakland Park Blvd, Ste 201,
Fort Lauderdale, FL 33306-1814
(954) 564-0040
(954) 564-0048

Map and Direction




Physician's Profile

Full NameKhongruk Wongkittiroch
GenderFemale
SpecialityDermatology
Experience16 Years
Location2838 E Oakland Park Blvd, Fort Lauderdale, Florida
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:
  • Khongruk Wongkittiroch graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1205003068
  • Provider Enumeration Date: 05/12/2008
  • Last Update Date: 12/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4183872237
  • Enrollment ID: I20120913000723

Medical Identifiers

Medical identifiers for Khongruk Wongkittiroch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205003068NPI-NPPES
28528OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
261637814OtherFLMULTI PLAN
317129OtherFLAVMED
261637814OtherFLUNITED HEALTHCARE
6375863OtherFLCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology OS11792 (Florida)Primary
207NI0002XDermatology - Clinical & Laboratory Dermatological Immunology OS11792 (Florida)Secondary
207ND0900XDermatology - Dermatopathology OS11792 (Florida)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery OS11792 (Florida)Secondary
207NP0225XDermatology - Pediatric Dermatology OS11792 (Florida)Secondary
207NS0135XDermatology - Procedural Dermatology OS11792 (Florida)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Skin And Cancer Associates175928484770

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. Khongruk Wongkittiroch allows following entities to bill medicare on her behalf.
Entity NameSkin And Cancer Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427017292
PECOS PAC ID: 1759284847
Enrollment ID: O20040128000060
Entity NameFeinstein Medical, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548416068
PECOS PAC ID: 1850467853
Enrollment ID: O20080827000275

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. Khongruk Wongkittiroch 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
Khongruk Wongkittiroch, DO
2838 E Oakland Park Blvd, Ste 201,
Fort Lauderdale, FL 33306-1814

Ph: (954) 564-0040		Khongruk Wongkittiroch, DO
2838 E Oakland Park Blvd, Ste 201,
Fort Lauderdale, FL 33306-1814

Ph: (954) 564-0040

Reviews and Comments


Dermatology Doctors in Fort Lauderdale, FL

Willie Forrest Richardson Jr., MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1120 Bayview Dr, Fort Lauderdale, FL 33304
Phone: 954-537-4106    Fax: 954-537-4186
Paul J Weber, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 5353 North Federal Hwy, Ste 400, Fort Lauderdale, FL 33308
Phone: 954-489-9800    Fax: 954-489-0401
Matthew J Elias, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4610 N Federal Hwy, Fort Lauderdale, FL 33308
Phone: 954-771-0582    
Zachary Hopkins, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316
Phone: 954-355-5134    
Charles Edwin Schmidt, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1120 Bayview Dr, Fort Lauderdale, FL 33304
Phone: 954-566-1562    Fax: 954-566-1563
Dr. Pamela Sheridan, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316
Phone: 954-355-4400    

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.