Dr Patrin Suppatkul Kongkaeow, MD in Cape Coral, FL

Dr Patrin Suppatkul Kongkaeow, MD is a medicare enrolled "Internal Medicine" physician in Cape Coral, Florida. Her current practice location is 636 Del Prado Blvd, Cape Coral, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 424-3123.

Dr Patrin Suppatkul Kongkaeow is licensed to practice in Florida (license number ME128582) 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 1881034650.

Contact Information

	Dr Patrin Suppatkul Kongkaeow, MD
	636 Del Prado Blvd, Cape Coral, FL 33990-2695
	(239) 424-3123
	(239) 424-4041

Map and Direction

Physician's Profile

Full Name	Dr Patrin Suppatkul Kongkaeow
Gender	Female
Speciality	Internal Medicine
Location	636 Del Prado Blvd, Cape Coral, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881034650
Provider Enumeration Date: 06/26/2013
Last Update Date: 06/26/2020

Medicare PECOS Information:

PECOS PAC ID: 8224359005
Enrollment ID: I20161028001536

Medical Identifiers

Medical identifiers for Dr Patrin Suppatkul Kongkaeow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881034650	NPI	-	NPPES
019030900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	ME128582 (Florida)	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 Patrin Suppatkul Kongkaeow allows following entities to bill medicare on her behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

Entity Name	Cape Coral Hospitalists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336209790 PECOS PAC ID: 2961504923 Enrollment ID: O20070221000345

Entity Name	Lee Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942058557 PECOS PAC ID: 9335672146 Enrollment ID: O20241114001576

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 Patrin Suppatkul Kongkaeow 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 Patrin Suppatkul Kongkaeow, MD 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 Ph: (239) 424-3123	Dr Patrin Suppatkul Kongkaeow, MD 636 Del Prado Blvd, Cape Coral, FL 33990-2695 Ph: (239) 424-3123

Reviews and Comments

Internal Medicine Doctors in Cape Coral, FL

Marshall D'souza, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 Del Prado Blvd N, Ste. 104, Cape Coral, FL 33909 Phone: 239-939-2200 Fax: 239-939-2204
Dr. Russell L. Robinson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 316 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-314-1616 Fax: 239-479-5202
Charles M Callahan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1435 Se 8th Ter Ste D, Cape Coral, FL 33990 Phone: 239-424-2095 Fax: 239-343-4178
Dr. Preeth Kada Sundaran, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 7, Cape Coral, FL 33990 Phone: 239-424-3660 Fax: 239-424-3663
Ambar Marie Morales-rodriguez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1138 Country Club Blvd, Cape Coral, FL 33990 Phone: 239-424-1900 Fax: 239-424-1904
Jack Clark, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1528 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-458-3338 Fax: 239-458-0666
Dr. William Richard Porter, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 709 Del Prado Blvd, Suite 9, Cape Coral, FL 33990 Phone: 239-574-2644 Fax: 239-574-1451

Dr Patrin Suppatkul Kongkaeow, MD - Medicare Internal Medicine in Cape Coral, FL