Dr Kevin D Toon, MD - Medicare Emergency Medicine in Athens, GA

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Dr Kevin D Toon, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Athens, Georgia. His current practice location is 1199 Prince Ave, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (800) 532-6151.

Dr Kevin D Toon is licensed to practice in Georgia (license number 56231) 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 1053393637.

Contact Information

Dr Kevin D Toon, MD
1199 Prince Ave,
Athens, GA 30606-2797
(800) 532-6151
(706) 354-5769

Map and Direction




Physician's Profile

Full NameDr Kevin D Toon
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location1199 Prince Ave, Athens, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053393637
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1254381817
  • Enrollment ID: I20050628000193

Medical Identifiers

Medical identifiers for Dr Kevin D Toon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053393637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 56231 (Georgia)Primary
207PE0004XEmergency Medicine - Emergency Medical Services 56231 (Georgia)Primary

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. Dr Kevin D Toon allows following entities to bill medicare on his behalf.
Entity NameGeorgia Emergency Medicine Specialists, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316064629
PECOS PAC ID: 1153317151
Enrollment ID: O20040423001126

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. Dr Kevin D Toon 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
Dr Kevin D Toon, MD
Po Box 5719,
Athens, GA 30604-5719

Ph: (706) 310-0381		Dr Kevin D Toon, MD
1199 Prince Ave,
Athens, GA 30606-2797

Ph: (800) 532-6151

Reviews and Comments


Emergency Medicine Doctors in Athens, GA

Dr. John R. Butler, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1199 Prince Ave, Athens, GA 30606
Phone: 800-532-6151    Fax: 706-354-5769
Dr. Timothy J. Garrett, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1199 Prince Avenue, Athens, GA 30606
Phone: 800-532-6151    Fax: 706-354-5769
Dr. Cecil G Pinholster, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 485 Highway 29 N, Athens, GA 30601
Phone: 706-353-6000    
Benjamin Parker Smith, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1199 Prince Ave, Athens, GA 30606
Phone: 866-321-8433    
Dr. Jack Fisher Yancey, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1230 Baxter St, Athens, GA 30606
Phone: 706-389-3993    Fax: 706-389-3096
Dr. Brandon Hicks, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1230 Baxter St, Athens, GA 30606
Phone: 706-543-3449    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.