Supawadee Pitakmongkolkul, NP-C in Elmhurst, NY

Supawadee Pitakmongkolkul, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Elmhurst, New York. Her current practice location is 7901 Broadway, Elmhurst Hospital Center, Elmhurst, New York. You can reach out to her office (for appointments etc.) via phone at (718) 334-5970.

Supawadee Pitakmongkolkul is licensed to practice in New York (license number F334901-1) 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 1730329723.

Contact Information

	Supawadee Pitakmongkolkul, NP-C
	7901 Broadway, Elmhurst Hospital Center, Elmhurst, NY 11373-1329
	(718) 334-5970
	Not Available

Map and Direction

Provider's Profile

Full Name	Supawadee Pitakmongkolkul
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7901 Broadway, Elmhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730329723
Provider Enumeration Date: 03/03/2009
Last Update Date: 03/03/2009

Medicare PECOS Information:

PECOS PAC ID: 0042601783
Enrollment ID: I20220106002066

Medical Identifiers

Medical identifiers for Supawadee Pitakmongkolkul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730329723	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F334901-1 (New York)	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. Supawadee Pitakmongkolkul allows following entities to bill medicare on her behalf.

Entity Name	Icahn School Of Medicine At Mount Sinai
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558627844 PECOS PAC ID: 2264691070 Enrollment ID: O20120724000505

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. Supawadee Pitakmongkolkul 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
Supawadee Pitakmongkolkul, NP-C 7901 Broadway, Elmhurst Hospital Center, Elmhurst, NY 11373-1329 Ph: (718) 334-5970	Supawadee Pitakmongkolkul, NP-C 7901 Broadway, Elmhurst Hospital Center, Elmhurst, NY 11373-1329 Ph: (718) 334-5970

Reviews and Comments

Nurse Practitioner Nurses in Elmhurst, NY

Ms. Roshni Shah, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway # A1-19, Elmhurst, NY 11373 Phone: 718-334-3501 Fax: 718-334-5006
Carlota Gabriel Antonio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-2424 Fax: 718-334-5958
Tenzin Chodon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D1-05, Elmhurst, NY 11373 Phone: 718-334-2488 Fax: 718-334-5006
Ms. Flordeliz Orticio Jorge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958
Ms. Sheung-chi Ng, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Managed Care, D1-01, Elmhurst, NY 11373 Phone: 718-334-1921 Fax: 718-334-5958
Ms. Michelle Malesa Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958
Magdalena Anna Zavala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000

Supawadee Pitakmongkolkul, NP-C - Medicare Nurse Practitioner in Elmhurst, NY