Udom Tinsatul, MD is a
General Practice physician based in Ashley, North Dakota. Udom Tinsatul is licensed to practice in North Dakota (license number 3926) and his current practice location is 612 Center Ave N, Ashley, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 288-3431.
NPI number for Udom Tinsatul is 1508963950 and his current mailing address is Po Box 180, 612 Center Ave N, Ashley, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508963950.
Physician's Profile
| Full Name | Udom Tinsatul |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
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| Location | 612 Center Ave N, Ashley, North Dakota |
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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: 1508963950
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 03/05/2015
Medical Identifiers
Medical identifiers for Udom Tinsatul such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508963950 | NPI | - | NPPES |
| 450359987 | Other | | CHAMPUS |
| 12755 | Medicaid | ND | |
| 1714 | Other | ND | BCBS |
| 450359987000 | Other | ND | WORKERS COMP |
| 7775690 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 3926 (North Dakota) | Secondary |
| 208600000X | Surgery | 2268 (South Dakota) | Secondary |
| 208D00000X | General Practice | 3926 (North Dakota) | 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. Udom Tinsatul 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 |
|---|
Udom Tinsatul, MD
Po Box 180, 612 Center Ave N,
Ashley, ND 58413-0180
Ph: (701) 288-3431 | Udom Tinsatul, MD
612 Center Ave N,
Ashley, ND 58413-7013
Ph: (701) 288-3431 |
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