Panadeekarn Panjawatanan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Lebanon, New Hampshire. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Banner - University Physician Specialists Llc and her current practice location is
1 Medical Center Dr, Lebanon, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 650-8630.
Panadeekarn Panjawatanan is licensed to practice in * (Not Available) (license number ) 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 1730741851.
Physician's Profile
| Full Name | Panadeekarn Panjawatanan |
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| Gender | Female |
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| Speciality | Endocrinology |
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| Experience | 11 Years |
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| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
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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:
- Panadeekarn Panjawatanan graduated from medical school in 2015
NPI Data:
- NPI Number: 1730741851
- Provider Enumeration Date: 06/28/2019
- Last Update Date: 05/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224410303
- Enrollment ID: I20240507003985
Medical Identifiers
Medical identifiers for Panadeekarn Panjawatanan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730741851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 69369 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Banner - University Physician Specialists Llc | 5991008054 | 295 |
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. Panadeekarn Panjawatanan allows following entities to bill medicare on her behalf.
| Entity Name | Banner Cancer Center Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
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| Entity Name | Banner - University Physician Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437529245 PECOS PAC ID: 5991008054 Enrollment ID: O20160122001476 |
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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. Panadeekarn Panjawatanan 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 |
Panadeekarn Panjawatanan, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: () - | Panadeekarn Panjawatanan, MD 1 Medical Center Dr, Lebanon, NH 03756-1000 Ph: (603) 650-8630 |
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