Dr Nirandon Wongsurawat, MD - Medicare Internal Medicine in Fenton, MO

Dr Nirandon Wongsurawat, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Fenton, Missouri. His current practice location is 1015 Bowles Ave, Fenton, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 566-8155.

Dr Nirandon Wongsurawat is licensed to practice in Missouri (license number MD34919) 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 1376656116.

Contact Information

Dr Nirandon Wongsurawat, MD
1015 Bowles Ave,
Fenton, MO 63026-1530
(636) 566-8155
(314) 966-0323



Physician's Profile

Full NameDr Nirandon Wongsurawat
GenderMale
SpecialityInternal Medicine - Endocrinology, Diabetes & Metabolism
Location1015 Bowles Ave, Fenton, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376656116
  • Provider Enumeration Date: 08/16/2006
  • Last Update Date: 06/29/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3072642941
  • Enrollment ID: I20100602000770

Medical Identifiers

Medical identifiers for Dr Nirandon Wongsurawat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376656116NPI-NPPES
205205701MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism MD34919 (Missouri)Primary

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 Nirandon Wongsurawat 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 AddressPractice Location Address
Dr Nirandon Wongsurawat, MD
1015 Bowles Ave,
Fenton, MO 63026-1530

Ph: (636) 566-8155
Dr Nirandon Wongsurawat, MD
1015 Bowles Ave,
Fenton, MO 63026-1530

Ph: (636) 566-8155

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Internal Medicine Doctors in Fenton, MO

Dr. Gregorius Resuma Penilla, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5040    
Dr. Stephanie Jean Becker-koepke, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Jeffrey J Hallazgo, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 714 Gravois Rd, Suite 100, Fenton, MO 63026
Phone: 636-326-6100    Fax: 636-326-6110
Dr. Mansoor Ul Haq, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Bowles Ave Ste G50, Fenton, MO 63026
Phone: 636-496-4640    
Dr. Abdul Rehman Rishi, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5022    
Timothy James Pratt, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: May Accept Medicare Assignments
Practice Location: 1011 Bowles Avenue, Suite 121, Fenton, MO 63026
Phone: 314-766-2066    Fax: 636-326-1802
Edward Reh, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026
Phone: 636-496-5022    

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