Mr Prakorb Isariyawongse, MD is a medicare enrolled "General Practice" physician in Brownsville, Pennsylvania. He graduated from medical school in 1965 and has 59 years of diverse experience with area of expertise as General Practice. His current practice location is
129 Simpson Road, Suite 108, Brownsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 785-9696.
Mr Prakorb Isariyawongse is licensed to practice in Pennsylvania (license number MD033993L) 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 1912012022.
Physician's Profile
Full Name | Mr Prakorb Isariyawongse |
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Gender | Male |
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Speciality | General Practice |
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Experience | 59 Years |
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Location | 129 Simpson Road, Brownsville, Pennsylvania |
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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 Prakorb Isariyawongse graduated from medical school in 1965
NPI Data:
- NPI Number: 1912012022
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 08/17/2011
Medicare PECOS Information:
- PECOS PAC ID: 3173653326
- Enrollment ID: I20100614000847
Medical Identifiers
Medical identifiers for Mr Prakorb Isariyawongse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912012022 | NPI | - | NPPES |
202932 | Other | PA | UPMC |
60542 | Other | | UNISON |
7938474011 | Other | PA | CIGNA |
020031897 | Other | | PALMETTO MEDICARE |
0708585 | Other | | UNITED MINE WORKERS |
129649 | Other | PA | HIGHMARK |
0005869240004 | Medicaid | PA | |
251310157 | Other | | UNITED HEALTH CARE |
18700 | Other | PA | HEALTH AMERICA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD033993L (Pennsylvania) | Secondary |
208D00000X | General Practice | MD033993L (Pennsylvania) | Primary |
Medical Facilities Affiliation
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. Mr Prakorb Isariyawongse allows following entities to bill medicare on his behalf.
Entity Name | Prakorb Medical Associate Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902127095 PECOS PAC ID: 5294865432 Enrollment ID: O20100614000798 |
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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. Mr Prakorb Isariyawongse 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 Prakorb Isariyawongse, MD 129 Simpson Road, Suite 108, Brownsville, PA 15417 Ph: (724) 785-9696 | Mr Prakorb Isariyawongse, MD 129 Simpson Road, Suite 108, Brownsville, PA 15417 Ph: (724) 785-9696 |
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