Panom Phoungcherdchoo, MD - Medicare Psychiatry & Neurology in Forest Park, IL

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Panom Phoungcherdchoo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Forest Park, Illinois. His current practice location is 8311 Roosevelt Rd, Forest Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 771-7000.

Panom Phoungcherdchoo is licensed to practice in Illinois (license number 036045322) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366496564.

Contact Information

Panom Phoungcherdchoo, MD
8311 Roosevelt Rd,
Forest Park, IL 60130-2529
(708) 771-7000
Not Available

Map and Direction




Physician's Profile

Full NamePanom Phoungcherdchoo
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location8311 Roosevelt Rd, Forest Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366496564
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 05/22/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8123051885
  • Enrollment ID: I20050913001143

Medical Identifiers

Medical identifiers for Panom Phoungcherdchoo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366496564NPI-NPPES
036045322MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 036045322 (Illinois)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. Panom Phoungcherdchoo allows following entities to bill medicare on his behalf.
Entity NameRiveredge Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710070701
PECOS PAC ID: 3870401268
Enrollment ID: O20061218000253

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. Panom Phoungcherdchoo 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 AddressPractice Location Address
Panom Phoungcherdchoo, MD
1745 Pavilion Way, Unit 207,
Park Ridge, IL 60068-1163

Ph: (847) 698-3470		Panom Phoungcherdchoo, MD
8311 Roosevelt Rd,
Forest Park, IL 60130-2529

Ph: (708) 771-7000

Reviews and Comments


Psychiatry & Neurology Doctors in Forest Park, IL

Rayyan Sami, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-771-7000    
Saarah Alkhairy, MD, MBA
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-209-4145    Fax: 708-488-4993
Aamir Safdar, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 330-758-4515    Fax: 330-758-5121
Richard Stuart Goldberg, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-814-6600    Fax: 708-209-2283
Dr. Ralph Menezes, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-771-7000    
Dr. Daniel O Faisal, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 630-589-4030    Fax: 630-241-1543

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.