Dr Boonlieng Nmn Wongchaowart, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Chardon, Ohio. His current practice location is
13207 Ravenna Rd, Chardon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 285-6348.
Dr Boonlieng Nmn Wongchaowart is licensed to practice in Ohio (license number 35-040947) 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 1255431748.
Physician's Profile
| Full Name | Dr Boonlieng Nmn Wongchaowart |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 13207 Ravenna Rd, Chardon, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255431748
- Provider Enumeration Date: 09/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3971698168
- Enrollment ID: I20071003000260
Medical Identifiers
Medical identifiers for Dr Boonlieng Nmn Wongchaowart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255431748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35-040947 (Ohio) | 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. Dr Boonlieng Nmn Wongchaowart allows following entities to bill medicare on his behalf.
| Entity Name | Somc Medical Care Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
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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. Dr Boonlieng Nmn Wongchaowart 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 |
Dr Boonlieng Nmn Wongchaowart, MD 8328 Bainbridge Rd, Chagrin Falls, OH 44023-4722 Ph: (440) 543-6918 | Dr Boonlieng Nmn Wongchaowart, MD 13207 Ravenna Rd, Chardon, OH 44024-7032 Ph: (440) 285-6348 |
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