Dr Siam Sukumvanich, MD is a medicare enrolled "Anesthesiology" physician in Herndon, Virginia. He went to University Of Oklahoma College Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Capitol Anesthesia Associates Ltd and his current practice location is
607 Herndon Pkwy Ste 101, Herndon, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 471-0919.
Dr Siam Sukumvanich is licensed to practice in Florida (license number TRN14597) 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 1316174972.
Physician's Profile
| Full Name | Dr Siam Sukumvanich |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 15 Years |
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| Location | 607 Herndon Pkwy Ste 101, Herndon, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Siam Sukumvanich attended and graduated from University Of Oklahoma College Of Medicine in 2009
NPI Data:
- NPI Number: 1316174972
- Provider Enumeration Date: 06/22/2009
- Last Update Date: 06/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062646839
- Enrollment ID: I20131009002237
Medical Identifiers
Medical identifiers for Dr Siam Sukumvanich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316174972 | NPI | - | NPPES |
| 1316174972 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | TRN14597 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Capitol Anesthesia Associates Ltd | 3274848320 | 19 |
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 Siam Sukumvanich allows following entities to bill medicare on his behalf.
| Entity Name | Capitol Anesthesia Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194106955
PECOS PAC ID: 3274848320
Enrollment ID: O20210622003418 |
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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 Siam Sukumvanich 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 |
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Dr Siam Sukumvanich, MD
607 Herndon Pkwy Ste 101,
Herndon, VA 20170-5477
Ph: () - | Dr Siam Sukumvanich, MD
607 Herndon Pkwy Ste 101,
Herndon, VA 20170-5477
Ph: (703) 471-0919 |
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