Thirat Chakavanmongkol, in North Hollywood, CA

Thirat Chakavanmongkol, is a medicare enrolled "Nurse Practitioner - Family" in North Hollywood, California. His current practice location is 12215 Victory Blvd, North Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (818) 299-5500.

Thirat Chakavanmongkol is licensed to practice in California (license number 95020085) 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 1265188221.

Contact Information

	Thirat Chakavanmongkol,
	12215 Victory Blvd, North Hollywood, CA 91606-3206
	(818) 299-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Thirat Chakavanmongkol
Gender	Male
Speciality	Nurse Practitioner - Family
Location	12215 Victory Blvd, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265188221
Provider Enumeration Date: 02/28/2022
Last Update Date: 02/28/2022

Medicare PECOS Information:

PECOS PAC ID: 1153796164
Enrollment ID: I20230405000578

Medical Identifiers

Medical identifiers for Thirat Chakavanmongkol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265188221	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95020085 (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. Thirat Chakavanmongkol allows following entities to bill medicare on his behalf.

Entity Name	Anvar Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831539485 PECOS PAC ID: 4284875451 Enrollment ID: O20130731000072

Entity Name	Infusion4health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508262213 PECOS PAC ID: 9032433206 Enrollment ID: O20150116000328

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. Thirat Chakavanmongkol 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
Thirat Chakavanmongkol, 7418 Vantage Ave, North Hollywood, CA 91605-3609 Ph: (818) 653-0176	Thirat Chakavanmongkol, 12215 Victory Blvd, North Hollywood, CA 91606-3206 Ph: (818) 299-5500

Reviews and Comments

Nurse Practitioner Nurses in North Hollywood, CA

Dr. Yekeen Adagbada Jr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11049 Magnolia Blvd Apt 302, North Hollywood, CA 91601 Phone: 773-412-8828
Ms. Janetta Ellen Yanez, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6801 Coldwater Canyon Ave, North Hollywood, CA 91605 Phone: 818-763-8836
Alfonso Cruz Manuel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7653 Coldwater Canyon Ct, North Hollywood, CA 91605 Phone: 818-200-7062
Victoria Vicky Ovakyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6248 Satsuma Ave, North Hollywood, CA 91606 Phone: 818-282-8174
Harshdeep Singh Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11130 Otsego St Apt 431, North Hollywood, CA 91601 Phone: 559-394-8987
Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412
Gayane Avagimian, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12215 Victory Blvd, North Hollywood, CA 91606 Phone: 213-219-5063

Thirat Chakavanmongkol, - Medicare Nurse Practitioner in North Hollywood, CA