Kittichai Promrat, MD - Medicare Gastroenterology in Riverside, RI

Kittichai Promrat, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Riverside, Rhode Island. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Brown Medicine, Rhode Island Hospital and his current practice location is 375 Wampanoag Trl, Suite 202a, Riverside, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 649-4030.

Kittichai Promrat is licensed to practice in Rhode Island (license number MD10807) 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 1356398390.

Contact Information

Kittichai Promrat, MD
375 Wampanoag Trl, Suite 202a,
Riverside, RI 02915-2212
(401) 649-4030
(401) 649-4031



Physician's Profile

Full NameKittichai Promrat
GenderMale
SpecialityGastroenterology
Experience32 Years
Location375 Wampanoag Trl, Riverside, Rhode Island
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:
  • Kittichai Promrat graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1356398390
  • Provider Enumeration Date: 05/27/2006
  • Last Update Date: 07/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3779567169
  • Enrollment ID: I20040615000008

Medical Identifiers

Medical identifiers for Kittichai Promrat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356398390NPI-NPPES
9026349MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD10807 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brown Medicine0446159776205
Rhode Island Hospital8921900044303

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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. Kittichai Promrat allows following entities to bill medicare on his behalf.
Entity NameBrown Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689626764
PECOS PAC ID: 0446159776
Enrollment ID: O20040219000354

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Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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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. Kittichai Promrat 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
Kittichai Promrat, MD
17 Virginia Ave, Suite 107,
Providence, RI 02905-4406

Ph: () -
Kittichai Promrat, MD
375 Wampanoag Trl, Suite 202a,
Riverside, RI 02915-2212

Ph: (401) 649-4030

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Internal Medicine Doctors in Riverside, RI

Tonslyn Toure, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4090    Fax: 401-649-4091
Jonathan A Leviss, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4020    Fax: 401-649-4021
Thomas D Denucci, M.D.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Suite 202a, Riverside, RI 02915
Phone: 401-649-4030    Fax: 401-649-4031
Kristen Tillquist, DO
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Reginald Y Gohh, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Suite 302a, Riverside, RI 02915
Phone: 401-649-4060    Fax: 401-649-4061
Dr. Franklin D Mccool, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl Ste 302b, Riverside, RI 02915
Phone: 401-649-4070    Fax: 401-649-4071
Dr. Lewena Maher, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 375 Wampanoag Trl, Riverside, RI 02915
Phone: 401-649-4040    Fax: 401-649-4041

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