Pichaya Sarasombath Ratarasarn, MD is a medicare enrolled "Dermatology" physician in Fitchburg, Wisconsin. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Group Health Cooperative Of South Central Wisconsin and her current practice location is
3051 Cahill Main, Fitchburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 661-7200.
Pichaya Sarasombath Ratarasarn is licensed to practice in Wisconsin (license number 48712-020) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225095466.
Physician's Profile
Full Name | Pichaya Sarasombath Ratarasarn |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 25 Years |
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Location | 3051 Cahill Main, Fitchburg, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Pichaya Sarasombath Ratarasarn graduated from medical school in 1999
NPI Data:
- NPI Number: 1225095466
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 04/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 1355406893
- Enrollment ID: I20090216000505
Medical Identifiers
Medical identifiers for Pichaya Sarasombath Ratarasarn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225095466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 48712-020 (Wisconsin) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Group Health Cooperative Of South Central Wisconsin | 3870489586 | 140 |
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. Pichaya Sarasombath Ratarasarn allows following entities to bill medicare on her behalf.
Entity Name | Group Health Cooperative Of South Central Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
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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. Pichaya Sarasombath Ratarasarn 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 |
Pichaya Sarasombath Ratarasarn, MD 3700 Parmenter St Apt 205, Middleton, WI 53562-1537 Ph: (414) 243-2999 | Pichaya Sarasombath Ratarasarn, MD 3051 Cahill Main, Fitchburg, WI 53711-7109 Ph: (608) 661-7200 |
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