Poonlarp Lurslurchachai, in Rohnert Park, CA - Medicare Nurse Practitioner

Poonlarp Lurslurchachai, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rohnert Park, California. His current practice location is 1509 Keats Pl, Rohnert Park, California. You can reach out to his office (for appointments etc.) via phone at (650) 878-7525.

Poonlarp Lurslurchachai is licensed to practice in California (license number 95030638) 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 1205603149.

Contact Information

	Poonlarp Lurslurchachai,
	1509 Keats Pl, Rohnert Park, CA 94928-5047
	(650) 878-7525
	Not Available

Map and Direction

Provider's Profile

Full Name	Poonlarp Lurslurchachai
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1509 Keats Pl, Rohnert Park, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205603149
Provider Enumeration Date: 12/11/2023
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 0244761922
Enrollment ID: I20241004002870

Medical Identifiers

Medical identifiers for Poonlarp Lurslurchachai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205603149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95030638 (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. Poonlarp Lurslurchachai allows following entities to bill medicare on his behalf.

Entity Name	Siyan Clinical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568732972 PECOS PAC ID: 0042470122 Enrollment ID: O20120327000847

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. Poonlarp Lurslurchachai 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
Poonlarp Lurslurchachai, 1509 Keats Pl, Rohnert Park, CA 94928-5047 Ph: (650) 878-7525	Poonlarp Lurslurchachai, 1509 Keats Pl, Rohnert Park, CA 94928-5047 Ph: (650) 878-7525

Reviews and Comments

Nurse Practitioner Nurses in Rohnert Park, CA

Christine Gibson, C.N.M. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1370 Medical Center Dr, Suite E, Rohnert Park, CA 94928 Phone: 707-584-3528 Fax: 707-584-3924
Holly Mcclure, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5789 State Farm Dr Ste 110, Rohnert Park, CA 94928 Phone: 707-615-3347
Ms. Cynthia Sue Renfrew, RN,MS,FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1801 E Cotati Ave, Sonoma State University Student Health Center, Rohnert Park, CA 94928 Phone: 707-664-2921
Ms. Anne Marie Purdy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5821 Kristina Pl, Rohnert Park, CA 94928 Phone: 813-390-0162 Fax: 813-269-4669
Sandra Lynn Jay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1450 Medical Center Drive, Suite 3, Rohnert Park, CA 94928 Phone: 707-547-4684 Fax: 707-585-7925
Lala Anderson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 959 Golf Course Dr # 151, Rohnert Park, CA 94928 Phone: 707-952-5267

Poonlarp Lurslurchachai, - Medicare Nurse Practitioner in Rohnert Park, CA