Udom Tinsatul, MD in Ashley, ND - General Practice

Udom Tinsatul, MD is a General Practice physician based in Ashley, North Dakota. Udom Tinsatul is licensed to practice in North Dakota (license number 3926) and his current practice location is 612 Center Ave N, Ashley, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 288-3431.

NPI number for Udom Tinsatul is 1508963950 and his current mailing address is Po Box 180, 612 Center Ave N, Ashley, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508963950.

Contact Information

	Udom Tinsatul, MD
	612 Center Ave N, Ashley, ND 58413-7013
	(701) 288-3431
	(701) 288-3432

Physician's Profile

Full Name	Udom Tinsatul
Gender	Male
Speciality	General Practice
Location	612 Center Ave N, Ashley, North Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1508963950
Provider Enumeration Date: 09/20/2006
Last Update Date: 03/05/2015

Medical Identifiers

Medical identifiers for Udom Tinsatul such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508963950	NPI	-	NPPES
450359987	Other		CHAMPUS
12755	Medicaid	ND
1714	Other	ND	BCBS
450359987000	Other	ND	WORKERS COMP
7775690	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	3926 (North Dakota)	Secondary
208600000X	Surgery	2268 (South Dakota)	Secondary
208D00000X	General Practice	3926 (North Dakota)	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. Udom Tinsatul is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Udom Tinsatul, MD Po Box 180, 612 Center Ave N, Ashley, ND 58413-0180 Ph: (701) 288-3431	Udom Tinsatul, MD 612 Center Ave N, Ashley, ND 58413-7013 Ph: (701) 288-3431

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Udom Tinsatul, MD - General Practice in Ashley, ND