Dr Puangpeth - Jantra, MD - Medicare Physical Medicine & Rehabilitation in Chicago, IL

Dr Puangpeth - Jantra, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Chicago, Illinois. Her current practice location is 820 S Damen Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 569-6380.

Dr Puangpeth - Jantra is licensed to practice in Illinois (license number ) 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 1285675058.

Contact Information

Dr Puangpeth - Jantra, MD
820 S Damen Ave,
Chicago, IL 60612-3728
(312) 569-6380
(312) 569-8050



Physician's Profile

Full NameDr Puangpeth - Jantra
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location820 S Damen Ave, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285675058
  • Provider Enumeration Date: 06/10/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8224276100
  • Enrollment ID: I20130605000112

Medical Identifiers

Medical identifiers for Dr Puangpeth - Jantra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285675058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation (Illinois)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 Puangpeth - Jantra 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 Puangpeth - Jantra, MD
4202 Yorkshire Ln,
Northbrook, IL 60062-2917

Ph: (847) 480-9069
Dr Puangpeth - Jantra, MD
820 S Damen Ave,
Chicago, IL 60612-3728

Ph: (312) 569-6380

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Physical Medicine & Rehabilitation Doctors in Chicago, IL

Patrick Joseph Barrett, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 345 E Superior St, 16th Floor, Chicago, IL 60611
Phone: 312-238-2780    
Dr. Monica E Rho, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 355 E Erie St, Chicago, IL 60611
Phone: 312-238-1000    Fax: 312-238-7709
Ms. Shivani Dua, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1725 W Harrison St Ste 885, Chicago, IL 60612
Phone: 312-942-2384    
Kara Eder, DPT
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 333 E Benton Pl Ste 108, Chicago, IL 60601
Phone: 312-929-3646    
Dr. Sonika Randev, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611
Phone: 312-635-0973    
Lauren E Splittgerber, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 355 E Erie St, Chicago, IL 60611
Phone: 312-238-1000    Fax: 312-238-7767
Reza Zayn Tanveer,
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 1620 W Harrison St, Chicago, IL 60612
Phone: 312-942-5000    

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