Sukanya Kanthawatana, MD is a medicare enrolled "Allergy & Immunology" physician in Olympia, Washington. Her current practice location is
703 Lilly Rd Ne, Suite 103, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 413-8760.
Sukanya Kanthawatana is licensed to practice in Washington (license number MD00037188) 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 1447250741.
Physician's Profile
| Full Name | Sukanya Kanthawatana |
|---|
| Gender | Female |
|---|
| Speciality | Allergy & Immunology |
|---|
| Location | 703 Lilly Rd Ne, Olympia, Washington |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1447250741
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 10/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 4688726128
- Enrollment ID: I20100312000878
Medical Identifiers
Medical identifiers for Sukanya Kanthawatana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447250741 | NPI | - | NPPES |
| GAB20352 | Other | WA | MEDICARE |
| 8240210 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207K00000X | Allergy & Immunology | MD00037188 (Washington) | 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. Sukanya Kanthawatana allows following entities to bill medicare on her behalf.
| Entity Name | Dermatology & Allergy Specialists |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497755797
PECOS PAC ID: 1254302698
Enrollment ID: O20040802000365 |
|---|
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. Sukanya Kanthawatana 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 |
|---|
Sukanya Kanthawatana, MD
304 W Bay Dr Nw, Ste 301,
Olympia, WA 98502-4958
Ph: (360) 413-8760 | Sukanya Kanthawatana, MD
703 Lilly Rd Ne, Suite 103,
Olympia, WA 98506-5191
Ph: (360) 413-8760 |
Reviews and Comments