Theppanya Ka Keolasy, MD in Roanoke, IN - Medicare Family Practice

Theppanya Ka Keolasy, MD is a medicare enrolled "Family Medicine" physician in Roanoke, Indiana. He went to Indiana University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Parkview Health System Inc and 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	Family Practice
Experience	23 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 Indiana University School Of Medicine in 2001

NPI Data:

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

Medicare PECOS Information:

PECOS PAC ID: 5597731794
Enrollment ID: I20040909000023

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Huntington Hospital	Huntington, IN	Hospital
Parkview Regional Medical Center	Fort wayne, IN	Hospital
Parkview Wabash Hospital, Inc	Wabash, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Health System Inc	2163336967	1192

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. Theppanya Ka Keolasy allows following entities to bill medicare on his behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

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: 280 Commercial St, Roanoke, IN 46783 Phone: 260-672-9285 Fax: 260-672-3537
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
Joel Jose C Valcarcel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10101 Ernst Rd, Roanoke, IN 46783 Phone: 260-234-5400 Fax: 260-234-5410

Theppanya Ka Keolasy, MD - Medicare Family Practice in Roanoke, IN