Khongruk Wongkittiroch, DO in Fort Lauderdale, FL - Medicare Micrographic Dermatologic Surgery (mds)

Khongruk Wongkittiroch, DO is a medicare enrolled "Dermatology" physician in Fort Lauderdale, Florida. She went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2008 and has 17 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). She is a member of the group practice South Florida Surgical Specialists Llc and her current practice location is 2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 564-0040.

Khongruk Wongkittiroch is licensed to practice in Florida (license number OS11792) 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 1205003068.

Contact Information

	Khongruk Wongkittiroch, DO
	2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, FL 33306-1814
	(954) 564-0040
	(954) 564-0048

Map and Direction

Physician's Profile

Full Name	Khongruk Wongkittiroch
Gender	Female
Speciality	Micrographic Dermatologic Surgery (mds)
Experience	17 Years
Location	2838 E Oakland Park Blvd, Fort Lauderdale, Florida
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:

Khongruk Wongkittiroch attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2008

NPI Data:

NPI Number: 1205003068
Provider Enumeration Date: 05/12/2008
Last Update Date: 12/18/2014

Medicare PECOS Information:

PECOS PAC ID: 4183872237
Enrollment ID: I20120913000723

Medical Identifiers

Medical identifiers for Khongruk Wongkittiroch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205003068	NPI	-	NPPES
28528	Other	FL	BLUE CROSS BLUE SHIELD OF FLORIDA
261637814	Other	FL	MULTI PLAN
317129	Other	FL	AVMED
261637814	Other	FL	UNITED HEALTHCARE
6375863	Other	FL	CIGNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	OS11792 (Florida)	Primary
207NI0002X	Dermatology - Clinical & Laboratory Dermatological Immunology	OS11792 (Florida)	Secondary
207ND0900X	Dermatology - Dermatopathology	OS11792 (Florida)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	OS11792 (Florida)	Secondary
207NP0225X	Dermatology - Pediatric Dermatology	OS11792 (Florida)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	OS11792 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Florida Surgical Specialists Llc	5799881660	89

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. Khongruk Wongkittiroch allows following entities to bill medicare on her behalf.

Entity Name	South Florida Surgical Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952409963 PECOS PAC ID: 5799881660 Enrollment ID: O20070509000683

Entity Name	Feinstein Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548416068 PECOS PAC ID: 1850467853 Enrollment ID: O20080827000275

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. Khongruk Wongkittiroch 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
Khongruk Wongkittiroch, DO 2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, FL 33306-1814 Ph: (954) 564-0040	Khongruk Wongkittiroch, DO 2838 E Oakland Park Blvd, Ste 201, Fort Lauderdale, FL 33306-1814 Ph: (954) 564-0040

Reviews and Comments

Dermatology Doctors in Fort Lauderdale, FL

Willie Forrest Richardson Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1120 Bayview Dr, Fort Lauderdale, FL 33304 Phone: 954-537-4106 Fax: 954-537-4186
Paul J Weber, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5353 North Federal Hwy, Ste 400, Fort Lauderdale, FL 33308 Phone: 954-489-9800 Fax: 954-489-0401
Matthew J Elias, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3100 E Commercial Blvd, Fort Lauderdale, FL 33308 Phone: 954-771-0582
Zachary Hopkins, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-5134
Charles Edwin Schmidt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1120 Bayview Dr, Fort Lauderdale, FL 33304 Phone: 954-566-1562 Fax: 954-566-1563
Dr. Pamela Sheridan, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4400

Khongruk Wongkittiroch, DO - Medicare Micrographic Dermatologic Surgery (mds) in Fort Lauderdale, FL