Sukanya Kanthawatana, MD is a medicare enrolled "Allergy & Immunology" physician in Olympia, Washington. She went to University Of Florida College Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Dermatology And Allergy Specialists and her current practice location is
703 Lilly Rd Ne, Suite 103, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 413-8760.
Sukanya Kanthawatana is licensed to practice in Washington (license number MD00037188) 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 1447250741.
Physician's Profile
| Full Name | Sukanya Kanthawatana |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 33 Years |
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| Location | 703 Lilly Rd Ne, Olympia, Washington |
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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. |
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Medical Education and Training:
- Sukanya Kanthawatana attended and graduated from University Of Florida College Of Medicine in 1991
NPI Data:
- NPI Number: 1447250741
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 10/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 4688726128
- Enrollment ID: I20100312000878
Medical Identifiers
Medical identifiers for Sukanya Kanthawatana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447250741 | NPI | - | NPPES |
| GAB20352 | Other | WA | MEDICARE |
| 8240210 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | MD00037188 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dermatology And Allergy Specialists | 1254302698 | 7 |
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. Sukanya Kanthawatana allows following entities to bill medicare on her behalf.
| Entity Name | Dermatology & Allergy Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497755797
PECOS PAC ID: 1254302698
Enrollment ID: O20040802000365 |
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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. Sukanya Kanthawatana 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 |
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Sukanya Kanthawatana, MD
304 W Bay Dr Nw, Ste 301,
Olympia, WA 98502-4958
Ph: (360) 413-8760 | Sukanya Kanthawatana, MD
703 Lilly Rd Ne, Suite 103,
Olympia, WA 98506-5191
Ph: (360) 413-8760 |
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