Timothy R Thaller, MD - Medicare Urology in Statesboro, GA

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Timothy R Thaller, MD is a medicare enrolled "Urology" physician in Statesboro, Georgia. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice East Georgia Urologic Clinic, Pc, East Georgia Hma Physician Management Llc and his current practice location is 614 E Grady St, Statesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 764-9001.

Timothy R Thaller is licensed to practice in Georgia (license number 046818) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407849706.

Contact Information

Timothy R Thaller, MD
614 E Grady St,
Statesboro, GA 30458-2067
(912) 764-9001
(912) 764-3166

Map and Direction




Physician's Profile

Full NameTimothy R Thaller
GenderMale
SpecialityUrology
Experience30 Years
Location614 E Grady St, Statesboro, Georgia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy R Thaller attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1994
  NPI Data:
  • NPI Number: 1407849706
  • Provider Enumeration Date: 08/23/2005
  • Last Update Date: 03/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648360800
  • Enrollment ID: I20071212000470

Medical Identifiers

Medical identifiers for Timothy R Thaller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407849706NPI-NPPES
000829507BMedicaidGA
340016471OtherGARR MEDICARE
782637OtherGABCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 046818 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
East Georgia Regional Medical CenterStatesboro, GAHospital
Memorial University Medical CenterSavannah, GAHospital
Evans Memorial HospitalClaxton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
East Georgia Urologic Clinic, Pc56988658632
East Georgia Hma Physician Management Llc721406859231

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. Timothy R Thaller allows following entities to bill medicare on his behalf.
Entity NameEast Georgia Urologic Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801078381
PECOS PAC ID: 5698865863
Enrollment ID: O20071212000494
Entity NameEast Georgia Hma Physician Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487983151
PECOS PAC ID: 7214068592
Enrollment ID: O20100630000504

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. Timothy R Thaller 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
Timothy R Thaller, MD
614 E Grady St,
Statesboro, GA 30458-2067

Ph: (912) 764-9001		Timothy R Thaller, MD
614 E Grady St,
Statesboro, GA 30458-2067

Ph: (912) 764-9001

Reviews and Comments


Urology Doctors in Statesboro, GA

Paul J Tilson, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 412 Northside Dr E, #500, Statesboro, GA 30458
Phone: 912-764-6808    Fax: 912-764-2436

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.