Sakdidej Suwan, MD is a
Internal Medicine - Infectious Disease physician based in Freeport, Pennsylvania. Sakdidej Suwan is licensed to practice in Pennsylvania (license number MD014710Y) and his current practice location is 419 Market St, Freeport, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(724) 295-5202.
NPI number for Sakdidej Suwan is 1538137351 and his current mailing address is 419 Market St, Freeport, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538137351.
Physician's Profile
| Full Name | Sakdidej Suwan |
|---|
| Gender | Male |
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| Speciality | Internal Medicine - Infectious Disease |
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| Location | 419 Market St, Freeport, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538137351
- Provider Enumeration Date: 03/09/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Sakdidej Suwan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538137351 | NPI | - | NPPES |
| 0006560810001 | Medicaid | PA | |
| 165045 | Other | PA | BLUE SHEILD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | MD014710Y (Pennsylvania) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | MD014710Y (Pennsylvania) | 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. Sakdidej Suwan 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 |
|---|
Sakdidej Suwan, MD
419 Market St,
Freeport, PA 16229-1121
Ph: (724) 295-5202 | Sakdidej Suwan, MD
419 Market St,
Freeport, PA 16229-1121
Ph: (724) 295-5202 |
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