Pamela Tangchitnob, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. Her current practice location is
4733 W Sunset Blvd Fl 3, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(626) 377-7469.
Pamela Tangchitnob is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609211945.
Physician's Profile
| Full Name | Pamela Tangchitnob |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4733 W Sunset Blvd Fl 3, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609211945
- Provider Enumeration Date: 04/30/2013
- Last Update Date: 11/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092022806
- Enrollment ID: I20160427002322
Medical Identifiers
Medical identifiers for Pamela Tangchitnob such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609211945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 20A13790 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Pamela Tangchitnob 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. Pamela Tangchitnob 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 |
Pamela Tangchitnob, DO 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 Ph: (626) 377-7469 | Pamela Tangchitnob, DO 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 Ph: (626) 377-7469 |
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