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DR. MENA M LUANGJAMEKORN MD NPI 1255320578


NPI Information

NPI: 1255320578
Provider Name: DR. MENA M LUANGJAMEKORN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4 MEMORIAL DR
STE 230
ALTON, IL
ZIP 62002
Phone: (618) 463-7777
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DR. Mena M Luangjamekorn, MD is a family medicine in Alton, IL with 24 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mena M Luangjamekorn, MD NPI is 1255320578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

4 MEMORIAL DR
STE 230
ALTON, IL
ZIP 62002-751
Phone: (618) 463-7777
Fax: (618) 463-7767

The NPI 1255320578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)

The enumeration date for this NPI number is 10/19/2005 and was last updated on 11/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301076196MICHIGANNo
2207Q00000XFamily Medicine036.125173ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I07388OTHERMICHIGANHEALTH NET FEDERAL
20M28430126MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
34591430MEDICAIDMICHIGAN
47450589OTHERMICHIGANAETNA
50M28430MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
60998002OTHERMICHIGANGENESEE HEALTH PLAN
7I07388OTHERMICHIGANHEALTH ALLIANCE PLAN
80802510871OTHERMICHIGANBLUE CROSS BLUE SHIELD
91010621OTHERMICHIGANMCLAREN HEALTH PLAN
1016492OTHERMICHIGANMCARE
11I07388MEDICARE UPINMICHIGAN
124698830MEDICAIDMICHIGAN
130998002OTHERMICHIGAN0998002
14080D410020OTHERMICHIGANBLUE CROSS BLUE SHIELD
15080D410020OTHERMICHIGANBLUE CARE NETWORK
161010621OTHERMICHIGANHEALTH ADVANTAGE NETWORK
172014164001OTHERMICHIGANCIGNA
184619498MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.