Mr Dittana Phoncharoensri, MD in Bermuda Run, NC

Mr Dittana Phoncharoensri, MD is a medicare enrolled "Psychiatry & Neurology - Sleep Medicine" physician in Bermuda Run, North Carolina. His current practice location is 152 E Kinderton Way Ste 101, Bermuda Run, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 893-3180.

Mr Dittana Phoncharoensri is licensed to practice in North Carolina (license number 201300784) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750585170.

Contact Information

	Mr Dittana Phoncharoensri, MD
	152 E Kinderton Way Ste 101, Bermuda Run, NC 27006-7351
	(336) 893-3180
	(336) 893-3189

Map and Direction

Physician's Profile

Full Name	Mr Dittana Phoncharoensri
Gender	Male
Speciality
Experience	Years
Location	152 E Kinderton Way Ste 101, Bermuda Run, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Dittana Phoncharoensri attended and graduated from in

NPI Data:

NPI Number: 1750585170
Provider Enumeration Date: 06/11/2007
Last Update Date: 10/25/2020

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Dittana Phoncharoensri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750585170	NPI	-	NPPES
1750585170	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084S0012X	Psychiatry & Neurology - Sleep Medicine	201300784 (North Carolina)	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. Mr Dittana Phoncharoensri 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
Mr Dittana Phoncharoensri, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (336) 893-3180	Mr Dittana Phoncharoensri, MD 152 E Kinderton Way Ste 101, Bermuda Run, NC 27006-7351 Ph: (336) 893-3180

Mr Dittana Phoncharoensri, MD - Medicare in Bermuda Run, NC