Dr Kobkit Putrakul, MD is a medicare enrolled "Emergency Medicine" physician in Manchester, Kentucky. His current practice location is
210 Marie Langdon Dr, Manchester, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 598-5104.
Dr Kobkit Putrakul is licensed to practice in Kentucky (license number 41570) 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 1699951558.
Physician's Profile
Full Name | Dr Kobkit Putrakul |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 210 Marie Langdon Dr, Manchester, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1699951558
- Provider Enumeration Date: 01/10/2008
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961589387
- Enrollment ID: I20080410000019
Medical Identifiers
Medical identifiers for Dr Kobkit Putrakul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699951558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | TP656 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 41570 (Kentucky) | 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 Kobkit Putrakul allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
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Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
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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 Kobkit Putrakul 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 Kobkit Putrakul, MD 600 Greenway Dr, London, KY 40741-1629 Ph: (606) 401-5490 | Dr Kobkit Putrakul, MD 210 Marie Langdon Dr, Manchester, KY 40962 Ph: (606) 598-5104 |
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