| Phinit Phisitkul, MD | |
|
2730 Pierce St, Suite 300, Sioux City, IA 51104-3796 | |
| (712) 224-8677 | |
| (712) 277-1662 |
| Full Name | Phinit Phisitkul |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 29 Years |
| Location | 2730 Pierce St, Sioux City, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205090297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 36706 (Iowa) | Secondary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 36706 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cnos Pc | 4284548942 | 97 |
| Cnos Pc | 4284548942 | 97 |
| Cnos Pc | 4284548942 | 97 |
| Entity Name | Cnos Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20031217000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Phinit Phisitkul, MD 2730 Pierce St, Suite 300, Sioux City, IA 51104-3796 Ph: (712) 224-8677 | Phinit Phisitkul, MD 2730 Pierce St, Suite 300, Sioux City, IA 51104-3796 Ph: (712) 224-8677 |
Mr. Kevin Jay Liudahl, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2800 Pierce St, Ste 101, Sioux City, IA 51104 Phone: 712-224-8677 Fax: 712-277-1662 | |
Duane Kent Nelson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2800 Peirce St, Suite 101, Sioux City, IA 51104 Phone: 712-224-8677 Fax: 712-277-1662 | |
William Oliver Samuelson, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2800 Pierce St, Ste 101, Sioux City, IA 51104 Phone: 712-224-8677 Fax: 712-277-1662 | |
Dr. James Roland Froggatt, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2800 Pierce St, Suite 101, Sioux City, IA 51104 Phone: 712-224-8677 Fax: 712-277-1662 |