Phornphat Rasamimari, MD, MPH in Munster, IN

Phornphat Rasamimari, MD, MPH is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Munster, Indiana. His current practice location is 901 Macarthur Blvd, Neonatology Department, Munster, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 836-2022.

Phornphat Rasamimari is licensed to practice in Indiana (license number 01060038A) 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 1821075383.

Contact Information

	Phornphat Rasamimari, MD, MPH
	901 Macarthur Blvd, Neonatology Department, Munster, IN 46321-2901
	(219) 836-2022
	Not Available

Map and Direction

Physician's Profile

Full Name	Phornphat Rasamimari
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	901 Macarthur Blvd, Munster, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821075383
Provider Enumeration Date: 12/27/2005
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 9436164308
Enrollment ID: I20060214000274

Medical Identifiers

Medical identifiers for Phornphat Rasamimari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821075383	NPI	-	NPPES
200510260	Medicaid	IN
000000964820	Other	IN	ANTHEM PROVIDER NUMBER
M471400271	Other	IN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	036-098723 (Illinois)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	036-098723 (Illinois)	Secondary
208M00000X	Hospitalist	01060038A (Indiana)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	01060038A (Indiana)	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. Phornphat Rasamimari allows following entities to bill medicare on his behalf.

Entity Name	The Board Of Trustees Of The University Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

Entity Name	Mount Sinai Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032

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. Phornphat Rasamimari 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
Phornphat Rasamimari, MD, MPH 9201 Calumet Ave, Munster, IN 46321-2807 Ph: (219) 836-2022	Phornphat Rasamimari, MD, MPH 901 Macarthur Blvd, Neonatology Department, Munster, IN 46321-2901 Ph: (219) 836-2022

Reviews and Comments

Pediatrics Doctors in Munster, IN

Mrs. Azra Shibli Sheriff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9128 Columbia Ave, Ste A, Munster, IN 46321 Phone: 219-836-2730 Fax: 219-836-0244
Linda T Chan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Macarthur Blvd, Ste 21, Munster, IN 46321 Phone: 219-836-1163 Fax: 219-836-0588
Dr. Eric Heinert, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 9126 Columbia Ave, Munster, IN 46321 Phone: 219-836-1600
Dr. Erica Lynne Yamout, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1946 45th Ave, Munster, IN 46321 Phone: 219-924-7794
Dr. Robert H. Wadle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7905 Calumet Ave, Hammond Clinic Llc, Munster, IN 46321 Phone: 219-836-7214 Fax: 219-934-9816
Jacquelyn Michelle Kukulski, DO Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 10240 Calumet Ave Fl 2, Munster, IN 46321 Phone: 219-922-9150 Fax: 219-922-9180
Wichest Boonyapredee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Macarthur Blvd, Neonatology Department, Munster, IN 46321 Phone: 219-836-2022

Phornphat Rasamimari, MD, MPH - Medicare Pediatrics in Munster, IN