Dr Carolyn Diane Thangawng, MD, MPH, FASAM - Medicare Preventive Medicine in Baltimore, MD

Dr Carolyn Diane Thangawng, MD, MPH, FASAM is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Baltimore, Maryland. Her current practice location is Baltimore Central Booking & Intake, 300 East Madison Street, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (615) 660-7119.

Dr Carolyn Diane Thangawng is licensed to practice in Maryland (license number D0087899) 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 1720374150.

Contact Information

Dr Carolyn Diane Thangawng, MD, MPH, FASAM
Baltimore Central Booking & Intake, 300 East Madison Street,
Baltimore, MD 21202-4260
(615) 660-7119
Not Available

Map and Direction




Physician's Profile

Full NameDr Carolyn Diane Thangawng
GenderFemale
SpecialityPreventive Medicine - Addiction Medicine
LocationBaltimore Central Booking & Intake, Baltimore, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720374150
  • Provider Enumeration Date: 06/23/2011
  • Last Update Date: 03/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557658598
  • Enrollment ID: I20160920000465

Medical Identifiers

Medical identifiers for Dr Carolyn Diane Thangawng such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720374150NPI-NPPES
103683924-000MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0300XPreventive Medicine - Addiction Medicine MD464459 (Pennsylvania)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine MD464459 (Pennsylvania)Secondary
2083P0901XPreventive Medicine - Public Health & General Preventive Medicine D0087899 (Maryland)Secondary
2083A0300XPreventive Medicine - Addiction Medicine D0087899 (Maryland)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. Dr Carolyn Diane Thangawng 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
Dr Carolyn Diane Thangawng, MD, MPH, FASAM
21416 Denit Estates Dr,
Brookeville, MD 20833-1832

Ph: (860) 709-3334
Dr Carolyn Diane Thangawng, MD, MPH, FASAM
Baltimore Central Booking & Intake, 300 East Madison Street,
Baltimore, MD 21202-4260

Ph: (615) 660-7119

Reviews and Comments


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