Promporn June Suwanabol, - Medicare Physician Assistant in Watertown, WI

Promporn June Suwanabol, is a medicare enrolled "Physician Assistant - Medical" in Watertown, Wisconsin. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Watertown Physician Practices Llc and her current practice location is 123 Hospital Dr, Suite 2009, Watertown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 262-9833.

Promporn June Suwanabol is licensed to practice in Wisconsin (license number 3398-23) 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 1710395058.

Contact Information

Promporn June Suwanabol,
123 Hospital Dr, Suite 2009,
Watertown, WI 53098-3331
(920) 262-9833
Not Available

Map and Direction




Provider's Profile

Full NamePromporn June Suwanabol
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location123 Hospital Dr, Watertown, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Promporn June Suwanabol graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1710395058
  • Provider Enumeration Date: 07/30/2014
  • Last Update Date: 12/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5890017636
  • Enrollment ID: I20141204001631

Medical Identifiers

Medical identifiers for Promporn June Suwanabol such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710395058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 3398-23 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marquardt Home HealthWatertown, WIHome health agency
Watertown Memorial HospitalWatertown, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Watertown Physician Practices Llc802232940856

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. Promporn June Suwanabol 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 AddressPractice Location Address
Promporn June Suwanabol,
123 Hospital Dr, Suite 2009,
Watertown, WI 53098-3331

Ph: (920) 262-9833
Promporn June Suwanabol,
123 Hospital Dr, Suite 2009,
Watertown, WI 53098-3331

Ph: (920) 262-9833

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.