Dr Nutaporn Sukontasup, OD in Fulton, MD - Medicare Optometry Provider

Dr Nutaporn Sukontasup, OD is a medicare enrolled "Optometrist" provider in Fulton, Maryland. She graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Optometry. She is a member of the group practice First Sight Vision Care Llc and her current practice location is 8115 Maple Lawn Blvd, Suite 135, Fulton, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 804-1173.

Dr Nutaporn Sukontasup is licensed to practice in Maryland (license number TA1848) 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 1104930817.

Contact Information

	Dr Nutaporn Sukontasup, OD
	8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759-2681
	(443) 804-1173
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nutaporn Sukontasup
Gender	Female
Speciality	Optometry
Experience	23 Years
Location	8115 Maple Lawn Blvd, Fulton, 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:

Dr Nutaporn Sukontasup graduated from medical school in 2003

NPI Data:

NPI Number: 1104930817
Provider Enumeration Date: 08/18/2006
Last Update Date: 01/15/2017

Medicare PECOS Information:

PECOS PAC ID: 4981649258
Enrollment ID: I20050627001142

Medical Identifiers

Medical identifiers for Dr Nutaporn Sukontasup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104930817	NPI	-	NPPES
11431664	Other		CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TA1848 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Sight Vision Care Llc	3375794787	3

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. Dr Nutaporn Sukontasup allows following entities to bill medicare on her behalf.

Provider Name	First Sight Vision Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1235489030 PECOS PAC ID: 3375794787 Enrollment ID: O20121113000143

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. Dr Nutaporn Sukontasup 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
Dr Nutaporn Sukontasup, OD 8315 Academy Rd, Ellicott City, MD 21043-6687 Ph: (443) 804-1173	Dr Nutaporn Sukontasup, OD 8115 Maple Lawn Blvd, Suite 135, Fulton, MD 20759-2681 Ph: (443) 804-1173

Reviews and Comments

Optometrist in Fulton, MD

Sightrite Medical Md Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11584 Scaggsville Rd, Fulton, MD 20759 Phone: 718-633-2455
Dr. Susan Gromacki Lathrop, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8115 Maple Lawn Blvd., Suite 135, Fulton, MD 20759 Phone: 301-490-3036 Fax: 443-288-4694
Millie Chang, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8160 Maple Lawn Blvd, Suite 140, Fulton, MD 20759 Phone: 301-490-3036
Drs Ely And Cohen Optometry Of Maple Lawn Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7625 Maple Lawn Blvd Ste 125, Fulton, MD 20759 Phone: 301-490-2020 Fax: 301-490-2224
Drs Ely And Cohen Optometry Of Maple Lawn Llc Optometrist Medicare: Medicare Enrolled Practice Location: 7625 Maple Lawn Blvd, Suite 125, Fulton, MD 20759 Phone: 301-490-2020 Fax: 301-490-2224

Dr Nutaporn Sukontasup, OD - Medicare Optometrist in Fulton, MD