Punyadech Photangtham, MD - Medicare Family Practice in New York, NY

Punyadech Photangtham, MD is a medicare enrolled "Family Medicine" physician in New York, New York. He went to George Washington University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. His current practice location is 3875 Broadway, Unit B, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 543-3110.

Punyadech Photangtham is licensed to practice in New York (license number 211187) 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 1083700926.

Contact Information

Punyadech Photangtham, MD
3875 Broadway, Unit B,
New York, NY 10032-1567
(212) 543-3110
(212) 543-3111

Map and Direction




Physician's Profile

Full NamePunyadech Photangtham
GenderMale
SpecialityFamily Practice
Experience28 Years
Location3875 Broadway, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Punyadech Photangtham attended and graduated from George Washington University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1083700926
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 12/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8426066036
  • Enrollment ID: I20060323000371

Medical Identifiers

Medical identifiers for Punyadech Photangtham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083700926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 211187 (New York)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. Punyadech Photangtham allows following entities to bill medicare on his behalf.
Entity NamePride Medical, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922214600
PECOS PAC ID: 6002903457
Enrollment ID: O20071101000035
Entity NameSmart Health Medical, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821301375
PECOS PAC ID: 7517155179
Enrollment ID: O20101223000086

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. Punyadech Photangtham 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 AddressPractice Location Address
Punyadech Photangtham, MD
125 W 56th St, #2b,
New York, NY 10019-3807

Ph: (212) 247-7039
Punyadech Photangtham, MD
3875 Broadway, Unit B,
New York, NY 10032-1567

Ph: (212) 543-3110

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.