Vanitcha R Pintavorn, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Evans, Georgia. She graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Augusta Ent Pc and her current practice location is
418 Town Park Blvd, Suite 1a, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 650-1662.
Vanitcha R Pintavorn is licensed to practice in Georgia (license number 048291) 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 1215931555.
Physician's Profile
| Full Name | Vanitcha R Pintavorn |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 37 Years |
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| Location | 418 Town Park Blvd, Evans, Georgia |
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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:
- Vanitcha R Pintavorn graduated from medical school in 1987
NPI Data:
- NPI Number: 1215931555
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 07/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 3476624297
- Enrollment ID: I20080620000484
Medical Identifiers
Medical identifiers for Vanitcha R Pintavorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215931555 | NPI | - | NPPES |
| 000894154D | Medicaid | GA | |
| G48291 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207KA0200X | Allergy & Immunology - Allergy | 048291 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Augusta Ent Pc | 9537156484 | 28 |
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. Vanitcha R Pintavorn allows following entities to bill medicare on her behalf.
| Entity Name | Augusta Ent Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770649204
PECOS PAC ID: 9537156484
Enrollment ID: O20040430000632 |
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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. Vanitcha R Pintavorn 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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Vanitcha R Pintavorn, MD
418 Town Park Blvd, Suite 1a,
Evans, GA 30809-3091
Ph: (706) 650-1662 | Vanitcha R Pintavorn, MD
418 Town Park Blvd, Suite 1a,
Evans, GA 30809-3091
Ph: (706) 650-1662 |
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