Keang Thai, PA - Medicare Physician Assistant in Stockbridge, GA

Keang Thai, PA is a medicare enrolled "Physician Assistant - Medical" in Stockbridge, Georgia. His current practice location is 1133 Eagles Landing Pkwy, Stockbridge, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 994-9326.

Keang Thai is licensed to practice in Georgia (license number 04179) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265507511.

Contact Information

Keang Thai, PA
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085
(770) 994-9326
(770) 994-4747



Provider's Profile

Full NameKeang Thai
GenderMale
SpecialityPhysician Assistant - Medical
Location1133 Eagles Landing Pkwy, Stockbridge, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265507511
  • Provider Enumeration Date: 11/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2860382975
  • Enrollment ID: I20040319000933

Medical Identifiers

Medical identifiers for Keang Thai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265507511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 04179 (Georgia)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. Keang Thai 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
Keang Thai, PA
235 Peachtree St Ne, North Tower, Suite 2100,
Atlanta, GA 30303-1401

Ph: (770) 994-9326
Keang Thai, PA
1133 Eagles Landing Pkwy,
Stockbridge, GA 30281-5085

Ph: (770) 994-9326

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› Verified 4 days ago


Physician Assistant Nurses in Stockbridge, GA

Charles Everett Coppinger, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1492 Hudson Bridge Rd, Stockbridge, GA 30281
Phone: 404-255-1933    Fax: 404-553-9830
James Vincent Edwards, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone: 770-506-4350    Fax: 770-506-9860
Janet Holland, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 175 Country Club Dr, Bldg. 100 Suite C, Stockbridge, GA 30281
Phone: 770-507-1414    Fax: 770-507-5150
Michael C. Martin, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 145 Eagles Walk, Suite A, Stockbridge, GA 30281
Phone: 770-914-0116    Fax: 770-914-7703
Charla V Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 950 Eagles Landing Pkwy, Suite 212, Stockbridge, GA 30281
Phone: 404-307-3062    
Elizabeth Matheny Wolfe, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281
Phone: 404-367-3014    
Jerrica Miles, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281
Phone: 770-506-4350    

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