Yutdhasak Kjornrattanawanich, DMD - Medicare Dentist in Bristol, CT

Yutdhasak Kjornrattanawanich, DMD is a medicare enrolled "Dentist" provider in Bristol, Connecticut. His current practice location is 1128 Farmington Ave, Bristol, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 585-1716.

Yutdhasak Kjornrattanawanich is licensed to practice in Connecticut (license number 9427) 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 1982766689.

Contact Information

Yutdhasak Kjornrattanawanich, DMD
1128 Farmington Ave,
Bristol, CT 06010-4752
(860) 585-1716
(860) 585-1758

Map and Direction




Healthcare Provider's Profile

Full NameYutdhasak Kjornrattanawanich
GenderMale
SpecialityDentist
Location1128 Farmington Ave, Bristol, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982766689
  • Provider Enumeration Date: 12/16/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0648578476
  • Enrollment ID: I20160412001754

Medical Identifiers

Medical identifiers for Yutdhasak Kjornrattanawanich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982766689NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 9427 (Connecticut)Primary

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. Yutdhasak Kjornrattanawanich 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
Yutdhasak Kjornrattanawanich, DMD
Po Box 3189,
Syracuse, NY 13220-3189

Ph: (315) 454-6000
Yutdhasak Kjornrattanawanich, DMD
1128 Farmington Ave,
Bristol, CT 06010-4752

Ph: (860) 585-1716

Reviews and Comments


Dentist in Bristol, CT

Dr. Michael Roy Ellis, DMD
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Practice Location: 789 Farmington Ave, Bristol, CT 06010
Phone: 860-583-6056    
Dr. Micheal Roger Marcotte, DDS, MSD
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Phone: 860-589-3316    Fax: 860-584-8976
Dr. Matthew Timothy Goslee, DMD, MPH
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Medicare: Not Enrolled in Medicare
Practice Location: 255 North Main St. C/o Dr. Matt Goslee, Posner And Turkus Dds, Bristol, CT 06010
Phone: 860-589-7170    
Dr. Howard J Posner, DDS
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Medicare: Medicare Enrolled
Practice Location: 255 North Main Street, Posner & Turkus Dds Pc, Bristol, CT 06010
Phone: 860-589-7170    Fax: 860-582-0850
Dr. Wing H Ko, D.M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 21 Pleasant St, Bristol, CT 06010
Phone: 860-582-8095    Fax: 860-589-3675
Dr. Marc Henderson, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 255 North Main Street, Bristol, CT 06010
Phone: 860-589-7170    Fax: 860-582-0850
Dr. James D Affenito, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 391 Main St, Bristol, CT 06010
Phone: 860-589-1055    Fax: 860-585-0251

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.