Surasak Phuphanich, MD in West Hollywood, CA - Medicare Psychiatry & Neurology

Surasak Phuphanich, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in West Hollywood, California. His current practice location is 8700 Beverly Blvd, West Hollywood, California. You can reach out to his office (for appointments etc.) via phone at (310) 423-5000.

Surasak Phuphanich is licensed to practice in California (license number A36229) 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 1457469074.

Contact Information

	Surasak Phuphanich, MD
	8700 Beverly Blvd, West Hollywood, CA 90048
	(310) 423-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Surasak Phuphanich
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	8700 Beverly Blvd, West Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457469074
Provider Enumeration Date: 08/25/2006
Last Update Date: 10/03/2019

Medicare PECOS Information:

PECOS PAC ID: 3274446489
Enrollment ID: I20070423000577

Medical Identifiers

Medical identifiers for Surasak Phuphanich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457469074	NPI	-	NPPES
266604	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RX0202X	Internal Medicine - Medical Oncology	53514 (Georgia)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	53135 (Arizona)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	A36229 (California)	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. Surasak Phuphanich allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of Claifornia Univ Neursciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205884210 PECOS PAC ID: 2769476357 Enrollment ID: O20040414001576

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. Surasak Phuphanich 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
Surasak Phuphanich, MD Po Box 512717, Los Angeles, CA 90051-0717 Ph: () -	Surasak Phuphanich, MD 8700 Beverly Blvd, West Hollywood, CA 90048 Ph: (310) 423-5000

Reviews and Comments

Psychiatry & Neurology Doctors in West Hollywood, CA

Dr. Ingrid Leah Dombrower, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-2871 Fax: 310-423-0114
Dr. Jethro L. Hu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-967-1884
Maranatha Ayodele, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-2000
Dr. Jessica Michelle Sedley Besbris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Becker Suite 224, West Hollywood, CA 90048 Phone: 310-423-5252 Fax: 310-423-9525
Dr. Richard Joel Metzner, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 840 Larrabee St, #1-319, West Hollywood, CA 90069 Phone: 310-360-0306 Fax: 310-360-0309
Dr. Robert Harris Baloh, MD PHD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 423-423-6472
Richa Kalra, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8235 Santa Monica Blvd Ste 302, West Hollywood, CA 90046 Phone: 888-684-2779

Surasak Phuphanich, MD - Medicare Psychiatry & Neurology in West Hollywood, CA