Anthony Phuc Thai, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Indianapolis, Indiana. His current practice location is
1701 N Senate Blvd, Rm Ag012, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 962-5975.
Anthony Phuc Thai is licensed to practice in * (Not Available) (license number ) 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 1629829056.
Physician's Profile
Full Name | Anthony Phuc Thai |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 1701 N Senate Blvd, Indianapolis, Indiana |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629829056
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 08/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577905009
- Enrollment ID: I20240529001880
Medical Identifiers
Medical identifiers for Anthony Phuc Thai such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629829056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01097171A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Anthony Phuc Thai 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 |
Anthony Phuc Thai, MD 1701 N Senate Blvd Rm Ag012, Indianapolis, IN 46202-1239 Ph: (317) 962-5975 | Anthony Phuc Thai, MD 1701 N Senate Blvd, Rm Ag012, Indianapolis, IN 46202-1239 Ph: (317) 962-5975 |
Reviews and Comments