Pensri Smithedajkul, in Los Angeles, CA - Medicare Nurse Practitioner

Pensri Smithedajkul, is a medicare enrolled "Nurse Practitioner - Family" in Los Angeles, California. Her current practice location is 2411 N Broadway, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 987-2000.

Pensri Smithedajkul is licensed to practice in California (license number 16190) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528137809.

Contact Information

	Pensri Smithedajkul,
	2411 N Broadway, Los Angeles, CA 90031
	(323) 987-2000
	(323) 987-1448

Map and Direction

Provider's Profile

Full Name	Pensri Smithedajkul
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2411 N Broadway, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528137809
Provider Enumeration Date: 11/08/2006
Last Update Date: 08/03/2018

Medicare PECOS Information:

PECOS PAC ID: 1759562606
Enrollment ID: I20110224000752

Medical Identifiers

Medical identifiers for Pensri Smithedajkul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528137809	NPI	-	NPPES
16190	Other	CA	NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	16190 (California)	Primary

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. Pensri Smithedajkul allows following entities to bill medicare on her behalf.

Entity Name	Community Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578136834 PECOS PAC ID: 4183904717 Enrollment ID: O20161216001265

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. Pensri Smithedajkul 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
Pensri Smithedajkul, 6000 N Figueroa St, Los Angeles, CA 90042-4232 Ph: (323) 254-5221	Pensri Smithedajkul, 2411 N Broadway, Los Angeles, CA 90031 Ph: (323) 987-2000

Reviews and Comments

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Pensri Smithedajkul, - Medicare Nurse Practitioner in Los Angeles, CA