Pichapa Sangsawad, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Quincy, Illinois. Her current practice location is
612 N 11th St, Quincy, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 224-9484.
Pichapa Sangsawad is licensed to practice in Illinois (license number 125.083490) 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 1003651472.
Physician's Profile
Full Name | Pichapa Sangsawad |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 612 N 11th St, Quincy, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003651472
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082159355
- Enrollment ID: I20240710004275
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
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 |
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 |
Reviews and Comments