Theerarat Thanavaro, in Parkville, MD - Medicare Nurse Practitioner

Theerarat Thanavaro, is a medicare enrolled "Nurse Practitioner - Adult Health" in Parkville, Maryland. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ssm Medical Group Inc and her current practice location is 9512 Harford Rd, Parkville, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 665-4400.

Theerarat Thanavaro is licensed to practice in Missouri (license number 2014015283) 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 1265823074.

Contact Information

	Theerarat Thanavaro,
	9512 Harford Rd, Parkville, MD 21234-3100
	(410) 665-4400
	Not Available

Map and Direction

Provider's Profile

Full Name	Theerarat Thanavaro
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	9512 Harford Rd, Parkville, Maryland
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:

Theerarat Thanavaro graduated from nursing school in 2013

NPI Data:

NPI Number: 1265823074
Provider Enumeration Date: 02/16/2015
Last Update Date: 11/24/2020

Medicare PECOS Information:

PECOS PAC ID: 9739494923
Enrollment ID: I20170324000378

Medical Identifiers

Medical identifiers for Theerarat Thanavaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265823074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	2014015283 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm St Joseph Hospital West	Lake saint louis, MO	Hospital
Ssm St Joseph Health Center	Saint charles, MO	Hospital
Ssm Depaul Health Center	Bridgeton, MO	Hospital
Ssm St Clare Health Center	Fenton, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Medical Group Inc	6608776299	500

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. Theerarat Thanavaro allows following entities to bill medicare on her behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	St Louis Cardiology Consultants Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801831045 PECOS PAC ID: 6608769245 Enrollment ID: O20050302000525

Entity Name	Christian Hospital Physician Billing Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689828501 PECOS PAC ID: 4284796913 Enrollment ID: O20081215000305

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. Theerarat Thanavaro 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
Theerarat Thanavaro, 421 Matts Way, Defiance, MO 63341-2524 Ph: () -	Theerarat Thanavaro, 9512 Harford Rd, Parkville, MD 21234-3100 Ph: (410) 665-4400

Reviews and Comments

Nurse Practitioner Nurses in Parkville, MD

Dr. Lawanda Rollins, DNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8831 Satyr Hill Rd Ste 100, Parkville, MD 21234 Phone: 443-946-1896 Fax: 443-495-2902
Kenneth Kibiriu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8511 Harford Rd Ste C, Parkville, MD 21234 Phone: 443-477-9514
Jubeth Fontanilla, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8800 Walther Blvd, Parkville, MD 21234 Phone: 410-882-3240 Fax: 410-661-5093
Clara Abit, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Luiss Deane Dr, Parkville, MD 21234 Phone: 301-917-4386
Nicole Queen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8713 Harford Rd, Parkville, MD 21234 Phone: 443-703-8345 Fax: 410-305-6221
Helen Nkiruka Onyeuba, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8713 Harford Rd, Parkville, MD 21234 Phone: 301-204-7913
Ramatu Ndomih Ngah, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8117 Harford Rd Ste 2, Parkville, MD 21234 Phone: 410-882-4800 Fax: 410-822-6667

Theerarat Thanavaro, - Medicare Nurse Practitioner in Parkville, MD