Theppanya Ka Keolasy, MD in Roanoke, IN

Theppanya Ka Keolasy, MD is a medicare enrolled "Family Medicine" physician in Roanoke, Indiana. His current practice location is 577 Geiger Dr Ste C, Roanoke, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 672-5950.

Theppanya Ka Keolasy is licensed to practice in Indiana (license number 01058795A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124028881.

Contact Information

	Theppanya Ka Keolasy, MD
	577 Geiger Dr Ste C, Roanoke, IN 46783-8877
	(260) 672-5950
	(260) 672-0939

Map and Direction

Physician's Profile

Full Name	Theppanya Ka Keolasy
Gender	Male
Speciality
Experience	Years
Location	577 Geiger Dr Ste C, Roanoke, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Theppanya Ka Keolasy attended and graduated from in

NPI Data:

NPI Number: 1124028881
Provider Enumeration Date: 07/26/2005
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Theppanya Ka Keolasy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124028881	NPI	-	NPPES
000000655775	Other	IN	ANTHEM
200502100A	Medicaid	IN
200956680	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01058795A (Indiana)	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. Theppanya Ka Keolasy 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
Theppanya Ka Keolasy, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () -	Theppanya Ka Keolasy, MD 577 Geiger Dr Ste C, Roanoke, IN 46783-8877 Ph: (260) 672-5950

Reviews and Comments

Family Medicine Doctors in Roanoke, IN

Jeffrey L Witt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-235-5410
Dr. Amy H Welker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 577 Geiger Dr, Suite C, Roanoke, IN 46783 Phone: 260-672-5950 Fax: 260-672-0939
Garrett H Bastin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410
Stephanie S Kidd, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-235-5410
Mark A King, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1100, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410
Catherine C Moffitt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd Ste 1200, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410

Theppanya Ka Keolasy, MD - Medicare in Roanoke, IN