Paul Kasemphantai, STUDENT in Washington, DC - Medicare Physician Assistant

Paul Kasemphantai, STUDENT is a medicare enrolled "Physician Assistant" in Washington, District Of Columbia. His current practice location is 2041 Georgia Ave Nw # 1, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 865-1141.

Paul Kasemphantai is licensed to practice in District Of Columbia (license number PA031363) 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 1790226181.

Contact Information

	Paul Kasemphantai, STUDENT
	2041 Georgia Ave Nw # 1, Washington, DC 20060-0001
	(202) 865-1141
	Not Available

Map and Direction

Provider's Profile

Full Name	Paul Kasemphantai
Gender	Male
Speciality	Physician Assistant
Location	2041 Georgia Ave Nw # 1, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790226181
Provider Enumeration Date: 03/17/2017
Last Update Date: 08/06/2025

Medicare PECOS Information:

PECOS PAC ID: 6002187499
Enrollment ID: I20170803000417

Medical Identifiers

Medical identifiers for Paul Kasemphantai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790226181	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	C06509 (Maryland)	Secondary
363A00000X	Physician Assistant	PA031363 (District Of Columbia)	Primary

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. Paul Kasemphantai 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
Paul Kasemphantai, STUDENT 257 Amberleigh Dr, Silver Spring, MD 20905-5992 Ph: (301) 642-2101	Paul Kasemphantai, STUDENT 2041 Georgia Ave Nw # 1, Washington, DC 20060-0001 Ph: (202) 865-1141

Reviews and Comments

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Paul Kasemphantai, STUDENT - Medicare Physician Assistant in Washington, DC