Phumpattra Chariyawong, MD in Portland, ME

Phumpattra Chariyawong, MD is a medicare enrolled "Hospitalist" physician in Portland, Maine. Her current practice location is 22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 662-4618.

Phumpattra Chariyawong is licensed to practice in Maine (license number MD30158) 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 1740665553.

Contact Information

	Phumpattra Chariyawong, MD
	22 Bramhall St, Portland, ME 04102-3134
	(207) 662-4618
	(207) 662-6254

Map and Direction

Physician's Profile

Full Name	Phumpattra Chariyawong
Gender	Female
Speciality	Hospitalist
Location	22 Bramhall St, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740665553
Provider Enumeration Date: 07/22/2015
Last Update Date: 03/05/2026

Medicare PECOS Information:

PECOS PAC ID: 7315246337
Enrollment ID: I20211028001288

Medical Identifiers

Medical identifiers for Phumpattra Chariyawong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740665553	NPI	-	NPPES
T3600	Other	TX	TEXAS MEDICAL BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	T3600 (Texas)	Secondary
207R00000X	Internal Medicine	MD30158 (Maine)	Secondary
208M00000X	Hospitalist	MD30158 (Maine)	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. Phumpattra Chariyawong allows following entities to bill medicare on her behalf.

Entity Name	Corpus Christi Hospitalists, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518052190 PECOS PAC ID: 3779585278 Enrollment ID: O20070213000489

Entity Name	Hha Hospital Medicine Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083489967 PECOS PAC ID: 7618329079 Enrollment ID: O20240122001831

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. Phumpattra Chariyawong 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
Phumpattra Chariyawong, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-4618	Phumpattra Chariyawong, MD 22 Bramhall St, Portland, ME 04102-3134 Ph: (207) 662-4618

Reviews and Comments

Hospitalist Doctors in Portland, ME

Karin M Doehne, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 211 Marginal Way, Portland, ME 04101 Phone: 207-544-9355
Dr. Catherine Freeman, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618
Lisa Almeder, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Pavilion 1203, Portland, ME 04102 Phone: 207-662-4618 Fax: 207-662-6254
Dr. Mojabeng Phoofolo, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 336-407-2998
Mary C. Ottolini, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-6711 Fax: 207-662-6063
Dr. Lauren Nicole Boehm, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111
Dr. Cashel O'brien, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-4618 Fax: 207-662-6254

Phumpattra Chariyawong, MD - Medicare Hospitalist in Portland, ME