Tanit Phupitakphol, MD in Brockton, MA - Medicare Internal Medicine

Tanit Phupitakphol, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in Brockton, Massachusetts. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Signature Healthcare Medical Group Inc and his current practice location is 130 Quincy Ave, Brockton, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 941-7268.

Tanit Phupitakphol is licensed to practice in Utah (license number 14235993-1205) 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 1487005062.

Contact Information

	Tanit Phupitakphol, MD
	130 Quincy Ave, Brockton, MA 02302-2803
	(508) 941-7268
	(508) 894-0412

Map and Direction

Physician's Profile

Full Name	Tanit Phupitakphol
Gender	Male
Speciality	Internal Medicine
Experience	9 Years
Location	130 Quincy Ave, Brockton, Massachusetts
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:

Tanit Phupitakphol graduated from medical school in 2016

NPI Data:

NPI Number: 1487005062
Provider Enumeration Date: 06/25/2016
Last Update Date: 09/08/2025

Medicare PECOS Information:

PECOS PAC ID: 6305187519
Enrollment ID: I20210702002467

Medical Identifiers

Medical identifiers for Tanit Phupitakphol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487005062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	14235993-1205 (Utah)	Primary
207RI0200X	Internal Medicine - Infectious Disease	286943 (Massachusetts)	Secondary
207R00000X	Internal Medicine	286943 (Massachusetts)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Signature Healthcare Brockton Hospital	Brockton, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Signature Healthcare Medical Group Inc	7719876267	207

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. Tanit Phupitakphol allows following entities to bill medicare on his behalf.

Entity Name	Signature Healthcare Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372

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. Tanit Phupitakphol 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
Tanit Phupitakphol, MD 130 Quincy Ave, Brockton, MA 02302-2803 Ph: (508) 941-7268	Tanit Phupitakphol, MD 130 Quincy Ave, Brockton, MA 02302-2803 Ph: (508) 941-7268

Reviews and Comments

Internal Medicine Doctors in Brockton, MA

Louis D. Gottlieb, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 680 Centre St, Managed Care, Brockton, MA 02302 Phone: 508-941-7065 Fax: 508-941-6373
Gloria Ibarra, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-559-5073
Elsie Varughese, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 63 Main St, Brockton, MA 02301 Phone: 508-559-6699 Fax: 508-583-4649
Jane G Butlin, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1 Pearl St, Suite 2200, Brockton, MA 02301 Phone: 508-897-6051 Fax: 508-897-6096
Jacob Mandell, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton Hospital, Brockton, MA 02302 Phone: 508-941-7150
Renu B Prakash, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 617-789-3000
Jolly Abeskheron, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Pearl St, Suite 1000, Brockton, MA 02301 Phone: 508-897-6060 Fax: 508-897-6063

Tanit Phupitakphol, MD - Medicare Internal Medicine in Brockton, MA