Mr Chitchawal Sahatevasukont, NP in Bothell, WA

Mr Chitchawal Sahatevasukont, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bothell, Washington. His current practice location is 22722 29th Dr Se, Ste 100, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (770) 363-0793.

Mr Chitchawal Sahatevasukont is licensed to practice in Iowa (license number G136472) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053661074.

Contact Information

	Mr Chitchawal Sahatevasukont, NP
	22722 29th Dr Se, Ste 100, Bothell, WA 98021-4420
	(770) 363-0793
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Chitchawal Sahatevasukont
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	22722 29th Dr Se, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053661074
Provider Enumeration Date: 09/17/2012
Last Update Date: 05/03/2020

Medicare PECOS Information:

PECOS PAC ID: 9436395944
Enrollment ID: I20170626002189

Medical Identifiers

Medical identifiers for Mr Chitchawal Sahatevasukont such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053661074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP4663 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G136472 (Iowa)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN176776 (Georgia)	Secondary

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. Mr Chitchawal Sahatevasukont allows following entities to bill medicare on his behalf.

Entity Name	Athens Regional Specialty Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083939136 PECOS PAC ID: 8325162340 Enrollment ID: O20100827000645

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. Mr Chitchawal Sahatevasukont 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
Mr Chitchawal Sahatevasukont, NP 1920 Variations Dr Ne, Atlanta, GA 30329-1009 Ph: (770) 363-0793	Mr Chitchawal Sahatevasukont, NP 22722 29th Dr Se, Ste 100, Bothell, WA 98021-4420 Ph: (770) 363-0793

Reviews and Comments

Nurse Practitioner Nurses in Bothell, WA

Kelly P Grenner, ARNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10025 Ne 186th St, Bothell, WA 98011 Phone: 425-486-9131 Fax: 425-486-9490
Mr. Terry Duran, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15515 Juanita Woodinville Way Ne, Bothell, WA 98011 Phone: 425-298-5278
Grace Unae Lee, FNP ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11913 Ne 195th St, Bothell, WA 98011 Phone: 206-302-1200
Dr. Kosuke Niitsu, PHD, ARNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17927 113th Ave Ne, Bothell, WA 98011 Phone: 425-352-3183 Fax: 425-352-3581
Dr. Erika Lee Frye Peschel, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1909 214th St Se Ste 110, Bothell, WA 98021 Phone: 425-488-4988
Marlene J Graves, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 206-505-1040

Mr Chitchawal Sahatevasukont, NP - Medicare Nurse Practitioner in Bothell, WA