Dr Michael A Thayer, MD is a medicare enrolled "Emergency Medicine" physician in Moultrie, Georgia. His current practice location is
3131 S Main St, Moultrie, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 985-3420.
Dr Michael A Thayer is licensed to practice in Georgia (license number 036886) 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 1508946989.
Physician's Profile
| Full Name | Dr Michael A Thayer |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 3131 S Main St, Moultrie, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508946989
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355530593
- Enrollment ID: I20110104000891
Medical Identifiers
Medical identifiers for Dr Michael A Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508946989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 036886 (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 Michael A Thayer allows following entities to bill medicare on his behalf.
| Entity Name | Colquitt Regional Emergency Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902211642
PECOS PAC ID: 6901026509
Enrollment ID: O20141002001293 |
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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. Dr Michael A Thayer 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 Address | Practice Location Address |
|---|
Dr Michael A Thayer, MD
3131 S Main St,
Moultrie, GA 31768-6925
Ph: (229) 985-3420 | Dr Michael A Thayer, MD
3131 S Main St,
Moultrie, GA 31768-6925
Ph: (229) 985-3420 |
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