Pichapa Sangsawad, MD is a
Student In An Organized Health Care Education/training Program physician based in Quincy, Illinois. Pichapa Sangsawad is licensed to practice in Illinois (license number 125.083490) and her current practice location is 612 N 11th St, Quincy, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 224-9484.
NPI number for Pichapa Sangsawad is 1003651472 and her current mailing address is 612 N 11th St, Quincy, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003651472.
Physician's Profile
Full Name | Pichapa Sangsawad |
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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 | 612 N 11th St, Quincy, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003651472
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 08/12/2024
Medical Identifiers
Medical identifiers for Pichapa Sangsawad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003651472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 125.083490 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 125.083490 (Illinois) | 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. Pichapa Sangsawad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pichapa Sangsawad, MD 612 N 11th St, Quincy, IL 62301-2662 Ph: () - | Pichapa Sangsawad, MD 612 N 11th St, Quincy, IL 62301-2662 Ph: (217) 224-9484 |
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