Dr Prabhakorn Kitbhoka, MD - Medicare Internal Medicine in Mishawaka, IN

Dr Prabhakorn Kitbhoka, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Mishawaka, Indiana. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Physician Services - Southeast Professional Corporation and his current practice location is 710 Park Pl, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 273-6787.

Dr Prabhakorn Kitbhoka is licensed to practice in Indiana (license number 01077845A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679703045.

Contact Information

Dr Prabhakorn Kitbhoka, MD
710 Park Pl,
Mishawaka, IN 46545-3519
(574) 273-6787
(574) 968-7160



Physician's Profile

Full NameDr Prabhakorn Kitbhoka
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location710 Park Pl, Mishawaka, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Prabhakorn Kitbhoka graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1679703045
  • Provider Enumeration Date: 07/20/2009
  • Last Update Date: 07/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9739300146
  • Enrollment ID: I20231104000604

Medical Identifiers

Medical identifiers for Dr Prabhakorn Kitbhoka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679703045NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 01077845A (Indiana)Primary
207RN0300XInternal Medicine - Nephrology MD211417 (Oregon)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary's HospitalAthens, GAHospital
St Lukes Magic Valley Medical CenterTwin falls, IDHospital
St Luke's JeromeJerome, IDHospital
Minidoka Memorial HospitalRupert, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Physician Services - Southeast Professional Corporation5597774554640

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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 Prabhakorn Kitbhoka allows following entities to bill medicare on his behalf.
Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20060419000545

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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 Prabhakorn Kitbhoka 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 Prabhakorn Kitbhoka, MD
Po Box 5909,
Portland, OR 97228-5909

Ph: (574) 273-6767
Dr Prabhakorn Kitbhoka, MD
710 Park Pl,
Mishawaka, IN 46545-3519

Ph: (574) 273-6787

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Internal Medicine Doctors in Mishawaka, IN

Mini Sra,
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-335-2521    Fax: 574-335-2262
Rafat H Ansari, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-234-5123    Fax: 574-282-2813
Dr. Elizabeth Marie Lauber, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-335-2521    Fax: 574-335-2262
Margaret Ann Quate-operacz, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 3665 Park Pl W, Suite 300, Mishawaka, IN 46545
Phone: 574-607-4724    Fax: 574-607-4725
Dr. Sayuri Cheruvu, M.B.,B.S
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5340 Holy Cross Pkwy, Mishawaka, IN 46545
Phone: 574-237-1328    Fax: 574-237-1348
Anandkumar M Koyani, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 303 S Main St, Suite 109, Mishawaka, IN 46544
Phone: 574-256-0235    Fax: 574-256-0236
Dr. Yufeng Kevin Wu, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 301 E Day Rd, Ste 200, Mishawaka, IN 46545
Phone: 574-204-7252    Fax: 574-968-0468

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