Dr Roslyn Mianglee Chaisanguanthum, MD is a medicare enrolled "Specialist" physician in Sylmar, California. She went to University Of California, Geffen School Of Medicine and graduated in 2002 and has 24 years of diverse experience with area of expertise as Hematology/oncology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
14445 Olive View Dr, Room 2b-182, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at
(818) 364-3205.
Dr Roslyn Mianglee Chaisanguanthum is licensed to practice in California (license number A84781) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174726954.
Physician's Profile
| Full Name | Dr Roslyn Mianglee Chaisanguanthum |
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| Gender | Female |
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| Speciality | Hematology/oncology |
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| Experience | 24 Years |
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| Location | 14445 Olive View Dr, Sylmar, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Roslyn Mianglee Chaisanguanthum attended and graduated from University Of California, Geffen School Of Medicine in 2002
NPI Data:
- NPI Number: 1174726954
- Provider Enumeration Date: 06/07/2007
- Last Update Date: 02/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 0840379236
- Enrollment ID: I20080509000700
Medical Identifiers
Medical identifiers for Dr Roslyn Mianglee Chaisanguanthum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174726954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RH0003X | Internal Medicine - Hematology & Oncology | MD70065738 (Washington) | Secondary |
| 174400000X | Specialist | A84781 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern California Permanente Medical Group | 6002729175 | 9038 |
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 Roslyn Mianglee Chaisanguanthum allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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 Roslyn Mianglee Chaisanguanthum 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 Roslyn Mianglee Chaisanguanthum, MD 11356 Missouri Ave, Los Angeles, CA 90025-5554 Ph: (626) 378-2209 | Dr Roslyn Mianglee Chaisanguanthum, MD 14445 Olive View Dr, Room 2b-182, Sylmar, CA 91342-1437 Ph: (818) 364-3205 |
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