Siraphob Chansangavej, MD in San Rafael, CA

Siraphob Chansangavej, MD is a medicare enrolled "Hospitalist" physician in San Rafael, California. He went to Tulane University School Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 99 Montecillo Rd, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 791-1329.

Siraphob Chansangavej is licensed to practice in Louisiana (license number 337657) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386268027.

Contact Information

	Siraphob Chansangavej, MD
	99 Montecillo Rd, San Rafael, CA 94903-3308
	(415) 791-1329
	Not Available

Map and Direction

Physician's Profile

Full Name	Siraphob Chansangavej
Gender	Male
Speciality	Hospitalist
Experience	5 Years
Location	99 Montecillo Rd, San Rafael, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Siraphob Chansangavej attended and graduated from Tulane University School Of Medicine in 2020

NPI Data:

NPI Number: 1386268027
Provider Enumeration Date: 05/28/2020
Last Update Date: 08/13/2024

Medicare PECOS Information:

PECOS PAC ID: 7315309432
Enrollment ID: I20240824000303

Medical Identifiers

Medical identifiers for Siraphob Chansangavej such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386268027	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	337657 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital	San rafael, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8867

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. Siraphob Chansangavej allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Siraphob Chansangavej 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
Siraphob Chansangavej, MD 6208 S Rocheblave St Apt B, New Orleans, LA 70125-4223 Ph: (504) 400-3509	Siraphob Chansangavej, MD 99 Montecillo Rd, San Rafael, CA 94903-3308 Ph: (415) 791-1329

Reviews and Comments

Hospitalist Doctors in San Rafael, CA

Robert A. Lowell, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Stephen G. Mizroch, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Gregory S. Arent, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Renata M. Scott, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-4885
Jeffrey A. Lovold, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000
Shideh N. Shadan, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2000

Siraphob Chansangavej, MD - Medicare Hospitalist in San Rafael, CA