Nongnooch Poowanawittayakom, MD in Brockton, MA

Nongnooch Poowanawittayakom, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Brockton, Massachusetts. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Infectious Disease. She is a member of the group practice Ssm Health Care Group and her current practice location is 63 Main Street, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 559-6699.

Nongnooch Poowanawittayakom is licensed to practice in Massachusetts (license number 270143) 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 1326302761.

Contact Information

	Nongnooch Poowanawittayakom, MD
	63 Main Street, Brockton, MA 02301
	(508) 559-6699
	(508) 559-5073

Map and Direction

Physician's Profile

Full Name	Nongnooch Poowanawittayakom
Gender	Female
Speciality	Infectious Disease
Experience	16 Years
Location	63 Main Street, Brockton, Massachusetts
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:

Nongnooch Poowanawittayakom graduated from medical school in 2008

NPI Data:

NPI Number: 1326302761
Provider Enumeration Date: 06/29/2012
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8729396858
Enrollment ID: I20201020003872

Medical Identifiers

Medical identifiers for Nongnooch Poowanawittayakom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326302761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	270143 (Massachusetts)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Louis University Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Health Care Group	0143608372	678

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. Nongnooch Poowanawittayakom allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

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. Nongnooch Poowanawittayakom 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
Nongnooch Poowanawittayakom, MD 63 Main Street, Brockton, MA 02301 Ph: (508) 559-6699	Nongnooch Poowanawittayakom, MD 63 Main Street, Brockton, MA 02301 Ph: (508) 559-6699

Reviews and Comments

Internal Medicine Doctors in Brockton, MA

Louis D. Gottlieb, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Managed Care, Brockton, MA 02302 Phone: 508-941-7065 Fax: 508-941-6373
Gloria Ibarra, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073
Elsie Varughese, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649
Jane G Butlin, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 2200, Brockton, MA 02301 Phone: 508-897-6051 Fax: 508-897-6096
Jacob Mandell, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7150
Jolly Abeskheron, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 1000, Brockton, MA 02301 Phone: 508-897-6060 Fax: 508-897-6063
Xin He, Infectious Disease Medicare: Medicare Enrolled Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-894-0400

Nongnooch Poowanawittayakom, MD - Medicare Infectious Disease in Brockton, MA