Thana Krisdakumtorn, DPM - Medicare Podiatrist in Palo Alto, CA

Thana Krisdakumtorn, DPM is a medicare enrolled "Podiatrist - Sports Medicine" provider in Palo Alto, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 795 El Camino Real, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 330-4529.

Thana Krisdakumtorn is licensed to practice in California (license number E4241) 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 1487765863.

Contact Information

Thana Krisdakumtorn, DPM
795 El Camino Real,
Palo Alto, CA 94301-2302
(650) 330-4529
Not Available



Healthcare Provider's Profile

Full NameThana Krisdakumtorn
GenderMale
SpecialityPodiatry
Experience26 Years
Location795 El Camino Real, Palo Alto, California
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:
  • Thana Krisdakumtorn graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1487765863
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 03/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567536659
  • Enrollment ID: I20080807000467

Medical Identifiers

Medical identifiers for Thana Krisdakumtorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487765863NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0000XPodiatrist - Sports Medicine E4241 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782941

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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. Thana Krisdakumtorn allows following entities to bill medicare on his behalf.
Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

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Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1982845186
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000247

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Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1104067115
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000456

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Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1497996524
PECOS PAC ID: 4284538778
Enrollment ID: O20090506000097

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Provider NameSutter Bay Medical Foundation
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1568851327
PECOS PAC ID: 4284538778
Enrollment ID: O20170927001545

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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. Thana Krisdakumtorn 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
Thana Krisdakumtorn, DPM
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (650) 853-2986
Thana Krisdakumtorn, DPM
795 El Camino Real,
Palo Alto, CA 94301-2302

Ph: (650) 330-4529

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Podiatrist in Palo Alto, CA

Elizabeth Anne Reilly, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 300 Pasteur Dr, Palo Alto, CA 94305
Phone: 650-723-4000    
Jonathan Jeah Seun, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304
Phone: 650-493-5000    
Dr. Sandra Jay Loving, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304
Phone: 650-493-5000    
Dr. Eghosa Isa, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 795 El Camino Real, Palo Alto, CA 94301
Phone: 650-853-2943    
Dr. Nancy Vilaysak Kim, DPM
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304
Phone: 650-493-5000    
Aaron Z Handa, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304
Phone: 650-493-5000    
Francis Dinh,
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304
Phone: 650-493-5000    

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