Mr. Dittana Phoncharoensri is a Bermuda Run, North Carolina based psychiatrist with 27 years of experience in Sleep Medicine. He completed his graduation in 1997. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Dittana Phoncharoensri is 201300784 for Sleep Medicine in North Carolina. His current practice location is 152 E Kinderton Way Ste 101, Bermuda Run. Patients can reach him at 336-893-3180 or can fax him at 336-893-3189. Mr. Dittana Phoncharoensri is M.D. in Sleep Medicine and his NPI number (Unique professional ID assigned by NPPES) is 1750585170. Mr. Dittana Phoncharoensri specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Complete Profile:
Mr. Dittana Phoncharoensri speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Dittana Phoncharoensri
Specialization:
Sleep Medicine
Gender:
Male
Credentials:
M.D.
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
152 E Kinderton Way Ste 101, Bermuda Run, North Carolina, 27006-7351
Phone:
336-893-3180
Fax:
336-893-3189
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1658411509
Enrollment ID:
I20130719000434
NPI Number:
1750585170
NPI Enumeration Date:
11 Jun, 2007
NPI Last Update On:
25 Oct, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Dittana Phoncharoensri are as mentioned below.
License Number
Specialization
State
Status
201300784
Sleep Medicine
North Carolina
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(340014)
Winston-salem, NC
Acute Care Hospital
(340148)
Winston-salem, NC
Acute Care Hospital
(340047)
Winston-salem, NC
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Dittana Phoncharoensri is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Novant Medical Group Inc (1153234893)
1918
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Dittana Phoncharoensri such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1750585170
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Dittana Phoncharoensri Po Box 60447, Charlotte, North Carolina
Zip:
28260-0447
Phone Number:
336-893-3180
Fax Number:
336-893-3189
Patients can reach Mr. Dittana Phoncharoensri at 152 E Kinderton Way Ste 101, Bermuda Run, North Carolina or can call to book an appointment on 336-893-3180.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.