Panadeekarn Panjawatanan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lebanon, New Hampshire. Her current practice location is
1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 650-8630.
Panadeekarn Panjawatanan is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730741851.
Physician's Profile
Full Name | Panadeekarn Panjawatanan |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Medical Center Dr, Lebanon, New Hampshire |
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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: 1730741851
- Provider Enumeration Date: 06/28/2019
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224410303
- Enrollment ID: I20240507003985
Medical Identifiers
Medical identifiers for Panadeekarn Panjawatanan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730741851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 69369 (Arizona) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Panadeekarn Panjawatanan allows following entities to bill medicare on her behalf.
Entity Name | Banner Cancer Center Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
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Entity Name | Banner - University Physician Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
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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. Panadeekarn Panjawatanan 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 |
Panadeekarn Panjawatanan, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: () - | Panadeekarn Panjawatanan, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-8630 |
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