Dr Prabhakorn Kitbhoka, MD in Mishawaka, IN - Medicare Internal Medicine

Dr Prabhakorn Kitbhoka, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mishawaka, Indiana. He graduated from medical school in 2005 and has 20 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Northeast Georgia Diagnostic Associates And Clinic, Llc and his current practice location is 710 Park Pl, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 273-6787.

Dr Prabhakorn Kitbhoka is licensed to practice in Georgia (license number 96918) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679703045.

Contact Information

	Dr Prabhakorn Kitbhoka, MD
	710 Park Pl, Mishawaka, IN 46545-3519
	(574) 273-6787
	(574) 968-7160

Map and Direction

Physician's Profile

Full Name	Dr Prabhakorn Kitbhoka
Gender	Male
Speciality	Internal Medicine
Experience	20 Years
Location	710 Park Pl, Mishawaka, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Prabhakorn Kitbhoka graduated from medical school in 2005

NPI Data:

NPI Number: 1679703045
Provider Enumeration Date: 07/20/2009
Last Update Date: 12/16/2024

Medicare PECOS Information:

PECOS PAC ID: 9739300146
Enrollment ID: I20231104000604

Medical Identifiers

Medical identifiers for Dr Prabhakorn Kitbhoka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679703045	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	01077845A (Indiana)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD211417 (Oregon)	Secondary
207RN0300X	Internal Medicine - Nephrology	96918 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northside Hospital Gwinnett	Lawrenceville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Georgia Diagnostic Associates And Clinic, Llc	1951655737	80

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 Prabhakorn Kitbhoka allows following entities to bill medicare on his behalf.

Entity Name	Hospital Physician Services - Southeast Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545

Entity Name	Northeast Georgia Diagnostic Associates And Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144719311 PECOS PAC ID: 1951655737 Enrollment ID: O20181114000949

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 Prabhakorn Kitbhoka 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 Prabhakorn Kitbhoka, MD Po Box 5909, Portland, OR 97228-5909 Ph: (574) 273-6767	Dr Prabhakorn Kitbhoka, MD 710 Park Pl, Mishawaka, IN 46545-3519 Ph: (574) 273-6787

Reviews and Comments

Internal Medicine Doctors in Mishawaka, IN

Mini Sra, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Rafat H Ansari, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-234-5123 Fax: 574-282-2813
Dr. Elizabeth Marie Lauber, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-2521 Fax: 574-335-2262
Margaret Ann Quate-operacz, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545 Phone: 574-607-4724 Fax: 574-607-4725
Dr. Sayuri Cheruvu, M.B.,B.S Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-237-1328 Fax: 574-237-1348
Dr. Yufeng Kevin Wu, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545 Phone: 574-204-7252 Fax: 574-968-0468
Shamila Garg, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 E Day Rd, Mishawaka, IN 46545 Phone: 574-204-7260 Fax: 574-204-7261

Dr Prabhakorn Kitbhoka, MD - Medicare Internal Medicine in Mishawaka, IN