Kylie Marie Thal, PA-C is a medicare enrolled "Physician Assistant" physician in Killeen, Texas. Her current practice location is
2405 Clear Creek Rd, Killeen, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 618-1777.
Kylie Marie Thal is licensed to practice in Texas (license number PA18253) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770318800.
Physician's Profile
Full Name | Kylie Marie Thal |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 2405 Clear Creek Rd, Killeen, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770318800
- Provider Enumeration Date: 09/06/2024
- Last Update Date: 12/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678009610
- Enrollment ID: I20241213000809
Medical Identifiers
Medical identifiers for Kylie Marie Thal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770318800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208VP0000X | Pain Medicine - Pain Medicine | PA18253 (Texas) | Secondary |
363A00000X | Physician Assistant | PA18253 (Texas) | 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. Kylie Marie Thal 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 |
Kylie Marie Thal, PA-C 291 Douglas Street Ext, Philipsburg, PA 16866-2004 Ph: (814) 762-5629 | Kylie Marie Thal, PA-C 2405 Clear Creek Rd, Killeen, TX 76549-5775 Ph: (254) 618-1777 |
Reviews and Comments