Patchawan Phunwutikorn, PSYD in Grand Blanc, MI - Medicare Clinical Psychologist Provider

Patchawan Phunwutikorn, PSYD is a medicare enrolled "Psychologist" provider in Grand Blanc, Michigan. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Ascension Genesys Hospital, Assessment And Therapy Associates and her current practice location is 1 Genesys Pkwy, Grand Blanc, Michigan. You can reach out to her office (for appointments etc.) via phone at (810) 606-5126.

Patchawan Phunwutikorn is licensed to practice in * (Not Available) (license number ) 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 1114455706.

Contact Information

	Patchawan Phunwutikorn, PSYD
	1 Genesys Pkwy, Grand Blanc, MI 48439-8065
	(810) 606-5126
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Patchawan Phunwutikorn
Gender	Female
Speciality	Clinical Psychologist
Experience	6 Years
Location	1 Genesys Pkwy, Grand Blanc, Michigan
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:

Patchawan Phunwutikorn graduated from medical school in 2020

NPI Data:

NPI Number: 1114455706
Provider Enumeration Date: 05/26/2017
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8921402934
Enrollment ID: I20210812000317

Medical Identifiers

Medical identifiers for Patchawan Phunwutikorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114455706	NPI	-	NPPES
8121	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesys Regional Medical Center - Health Park	Grand blanc, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ascension Genesys Hospital	2062323033	83
Assessment And Therapy Associates	2062581481	18

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. Patchawan Phunwutikorn allows following entities to bill medicare on her behalf.

Entity Name	Ascension Genesys Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528283033 PECOS PAC ID: 2062323033 Enrollment ID: O20031208000842

Entity Name	Genesys Practice Partners Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982647004 PECOS PAC ID: 3476456492 Enrollment ID: O20040128000729

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. Patchawan Phunwutikorn 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
Patchawan Phunwutikorn, PSYD 2004 Fox Hill Dr Apt 1, Grand Blanc, MI 48439-5244 Ph: () -	Patchawan Phunwutikorn, PSYD 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 Ph: (810) 606-5126

Reviews and Comments

Psychologist in Grand Blanc, MI

Sara Christine Ward, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1 Genesys Parkway, Medical Education-psychology, Grand Blanc, MI 48439 Phone: 810-606-6954
Thomas Martin Starzynski, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8203 S Saginaw St, Grand Blanc, MI 48439 Phone: 269-983-4751
Marianne Goergen, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-424-2400 Fax: 810-579-7222
Noel A. Dryden-minger, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10785 S Saginaw St, Bldg. E, Suite A, Grand Blanc, MI 48439 Phone: 810-695-0055 Fax: 810-695-6813
Samantha Schires, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Genesys Pkwy, Grand Blanc, MI 48439 Phone: 810-606-5000
Myra F. Alliston, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8435 Holly Rd, Grand Blanc, MI 48439 Phone: 810-424-2400 Fax: 810-579-7222

Patchawan Phunwutikorn, PSYD - Medicare Psychologist in Grand Blanc, MI