Kamonporn Thawatpeerachai, CCC-SLP in Los Angeles, CA - Medicare Speech-Language Pathologist Provider

Kamonporn Thawatpeerachai, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Los Angeles, California. Her current practice location is 5310 Fountain Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 461-9961.

Kamonporn Thawatpeerachai is licensed to practice in California (license number SP32903) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902503790.

Contact Information

	Kamonporn Thawatpeerachai, CCC-SLP
	5310 Fountain Ave, Los Angeles, CA 90029-1005
	(323) 461-9961
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kamonporn Thawatpeerachai
Gender	Female
Speciality	Speech-language Pathologist
Location	5310 Fountain Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902503790
Provider Enumeration Date: 02/13/2023
Last Update Date: 02/18/2026

Medicare PECOS Information:

PECOS PAC ID: 4183071327
Enrollment ID: I20231109003497

Medical Identifiers

Medical identifiers for Kamonporn Thawatpeerachai such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902503790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP32903 (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. Kamonporn Thawatpeerachai allows following entities to bill medicare on her behalf.

Provider Name	Interface Rehab, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306960851 PECOS PAC ID: 6204736556 Enrollment ID: O20080226000768

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. Kamonporn Thawatpeerachai 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
Kamonporn Thawatpeerachai, CCC-SLP 5414 Carlton Way Apt 5, Los Angeles, CA 90027-4844 Ph: (424) 653-4251	Kamonporn Thawatpeerachai, CCC-SLP 5310 Fountain Ave, Los Angeles, CA 90029-1005 Ph: (323) 461-9961

Reviews and Comments

Speech-Language Pathologist in Los Angeles, CA

Benjamin M Kalkin, SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 Fax: 626-405-6768
Maureen Jennings, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Roscomare Rd, #104, Los Angeles, CA 90077 Phone: 310-663-3868
Arpi Guberman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 333 S Beaudry Ave, Los Angeles, CA 90017 Phone: 909-964-8966
Suzanne Merritt Bilderback, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 633 W 5th St Ofc 2876b, Los Angeles, CA 90071 Phone: 512-377-6318
Ms. June Mitsunaga Fujimoto, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1968 W Adams Blvd Ste 300, Los Angeles, CA 90018 Phone: 310-553-3695
Daniella Hay, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1080 S La Cienega Blvd Ste 208, Los Angeles, CA 90035 Phone: 323-426-6402
Taryn Kiani Michiko Park, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1680 E 120th St, Los Angeles, CA 90059 Phone: 424-338-8000

Kamonporn Thawatpeerachai, CCC-SLP - Medicare Speech-Language Pathologist in Los Angeles, CA