Supak Sookkasikon, MD in Bloomfield Township, MI

Supak Sookkasikon, MD is a medicare enrolled "Family Medicine" physician in Bloomfield Township, Michigan. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice A3 Medical and her current practice location is 4050 W Maple Rd, Suite 101, Bloomfield Township, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 885-8211.

Supak Sookkasikon is licensed to practice in Michigan (license number 4301083253) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649376922.

Contact Information

	Supak Sookkasikon, MD
	4050 W Maple Rd, Suite 101, Bloomfield Township, MI 48301-3148
	(248) 885-8211
	(248) 885-8357

Map and Direction

Physician's Profile

Full Name	Supak Sookkasikon
Gender	Female
Speciality	Family Practice
Experience	23 Years
Location	4050 W Maple Rd, Bloomfield Township, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Supak Sookkasikon graduated from medical school in 2003

NPI Data:

NPI Number: 1649376922
Provider Enumeration Date: 09/15/2006
Last Update Date: 02/28/2014

Medicare PECOS Information:

PECOS PAC ID: 9537263132
Enrollment ID: I20070409000031

Medical Identifiers

Medical identifiers for Supak Sookkasikon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649376922	NPI	-	NPPES
5315028426	Other	MI	CONTROLLED SUBSTANCE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301083253 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital Royal Oak	Royal oak, MI	Hospital
Central Dupage Hospital	Winfield, IL	Hospital
Beaumont Hospital - Dearborn	Dearborn, MI	Hospital
Beaumont Hospital - Farmington Hills	Farmington hills, MI	Hospital
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
A3 Medical	7315183076	2

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. Supak Sookkasikon allows following entities to bill medicare on her behalf.

Entity Name	A3 Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366798373 PECOS PAC ID: 7315183076 Enrollment ID: O20130425000025

Entity Name	A3 Primary Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780348086 PECOS PAC ID: 9133665094 Enrollment ID: O20240726003434

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. Supak Sookkasikon 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
Supak Sookkasikon, MD 4050 W Maple Rd, Suite 101, Bloomfield Township, MI 48301-3148 Ph: (248) 885-8211	Supak Sookkasikon, MD 4050 W Maple Rd, Suite 101, Bloomfield Township, MI 48301-3148 Ph: (248) 885-8211

Reviews and Comments

Family Medicine Doctors in Bloomfield Township, MI

Dr. Jerry Avrum Appel, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1720 South Hill Blvd, Bloomfield Township, MI 48304 Phone: 248-853-5399 Fax: 248-853-5996
Daniel Meram, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 43097 Woodward Ave Ste 100, Bloomfield Township, MI 48302 Phone: 248-836-0040
Dr. Kimberly H Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1961 S Telegraph Rd, Bloomfield Township, MI 48302 Phone: 248-319-6120

Supak Sookkasikon, MD - Medicare Family Practice in Bloomfield Township, MI