Detavius Veal, is a medicare enrolled "Physician Assistant" physician in Atlanta, Georgia. His current practice location is
80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 616-1000.
Detavius Veal is licensed to practice in Georgia (license number 12740) 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 1063101129.
Physician's Profile
Full Name | Detavius Veal |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063101129
- Provider Enumeration Date: 05/04/2023
- Last Update Date: 11/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628508843
- Enrollment ID: I20250203003638
Medical Identifiers
Medical identifiers for Detavius Veal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063101129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 12740 (Georgia) | Secondary |
363A00000X | Physician Assistant | 12740 (Georgia) | 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. Detavius Veal 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 |
Detavius Veal, 161 Logans Dr Se, Milledgeville, GA 31061-8318 Ph: () - | Detavius Veal, 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 616-1000 |
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