Dr Chutaporn Charnsangavej, MD is a medicare enrolled "Legal Medicine" physician in Aurora, Colorado. Her current practice location is
1411 S Potomac St, Suite 450, Aurora, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 695-4800.
Dr Chutaporn Charnsangavej is licensed to practice in Colorado (license number 42540) 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 1174694483.
Physician's Profile
| Full Name | Dr Chutaporn Charnsangavej |
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| Gender | Female |
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| Speciality | Legal Medicine |
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| Location | 1411 S Potomac St, Aurora, Colorado |
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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: 1174694483
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 05/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335191899
- Enrollment ID: I20050214000391
Medical Identifiers
Medical identifiers for Dr Chutaporn Charnsangavej such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174694483 | NPI | - | NPPES |
| 07552343 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | DR.0042540 (Colorado) | Secondary |
| 209800000X | Legal Medicine | DR.0042540 (Colorado) | Secondary |
| 173000000X | Legal Medicine | 42540 (Colorado) | 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 Chutaporn Charnsangavej allows following entities to bill medicare on her behalf.
| Entity Name | Portercare Adventist Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
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| Entity Name | Questcare Obstetrics Colorado Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417295932 PECOS PAC ID: 3072759133 Enrollment ID: O20130415000372 |
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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 Chutaporn Charnsangavej 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 Chutaporn Charnsangavej, MD 1411 S Potomac St, Suite 450, Aurora, CO 80012-4536 Ph: (303) 695-4800 | Dr Chutaporn Charnsangavej, MD 1411 S Potomac St, Suite 450, Aurora, CO 80012-4536 Ph: (303) 695-4800 |
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