Dr Pudchong S Srisethnil, MD, FACE in Paterson, NJ

Dr Pudchong S Srisethnil, MD, FACE is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Paterson, New Jersey. His current practice location is 561 E 28th St, Paterson, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 278-4673.

Dr Pudchong S Srisethnil is licensed to practice in New Jersey (license number MA30779) 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 1770690315.

Contact Information

	Dr Pudchong S Srisethnil, MD, FACE
	561 E 28th St, Paterson, NJ 07504-1825
	(973) 278-4673
	(973) 278-0450

Map and Direction

Physician's Profile

Full Name	Dr Pudchong S Srisethnil
Gender	Male
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	561 E 28th St, Paterson, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770690315
Provider Enumeration Date: 08/23/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0244262681
Enrollment ID: I20050907000034

Medical Identifiers

Medical identifiers for Dr Pudchong S Srisethnil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770690315	NPI	-	NPPES
MA30779	Other	NJ	LICENSE #
222385269	Other	NJ	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	MA30779 (New Jersey)	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 Pudchong S Srisethnil allows following entities to bill medicare on his behalf.

Entity Name	Pudchong Srisethnil, M.d., P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952744872 PECOS PAC ID: 9032356761 Enrollment ID: O20130516000292

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 Pudchong S Srisethnil 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 Pudchong S Srisethnil, MD, FACE 561 E 28th St, Paterson, NJ 07504-1825 Ph: (973) 278-4673	Dr Pudchong S Srisethnil, MD, FACE 561 E 28th St, Paterson, NJ 07504-1825 Ph: (973) 278-4673

Reviews and Comments

Internal Medicine Doctors in Paterson, NJ

Antoine Mansourati, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 973-754-2000
Karwan Ameen, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 703 Main St, Paterson, NJ 07503 Phone: 718-334-4000
David Paul Bleeker, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 21 Market St, Paterson, NJ 07501 Phone: 973-754-4200 Fax: 973-754-4201
Walid Baddoura, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, St. Joseph's Regional Medical Center, Paterson, NJ 07503 Phone: 973-754-2270
Dr. Adil Farooki, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 680 Broadway, Paterson, NJ 07514 Phone: 973-754-0999
Dr. Dinesh H Shah, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 350 21st Ave, Paterson, NJ 07501 Phone: 973-345-1044 Fax: 973-345-3943
Dr. Yana Cavanagh, Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 703 Main St, St. Joseph's Regional Medical Center, Internal Medicine, Paterson, NJ 07503 Phone: 973-754-2431 Fax: 973-754-3376

Dr Pudchong S Srisethnil, MD, FACE - Medicare Internal Medicine in Paterson, NJ