Dr Fanta Elizabeth Kasiah, MD - Medicare Emergency Medicine in Evans, GA

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Dr Fanta Elizabeth Kasiah, MD is a medicare enrolled "Family Medicine" physician in Evans, Georgia. She graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Physicians United Urgent Care, P.c., Southland Burke Emergency Medical Services, Llc and her current practice location is 104 N Belair Rd, Suite 101, Evans, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 922-3669.

Dr Fanta Elizabeth Kasiah is licensed to practice in Georgia (license number 4212) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639480684.

Contact Information

Dr Fanta Elizabeth Kasiah, MD
104 N Belair Rd, Suite 101,
Evans, GA 30809-6503
(706) 922-3669
Not Available

Map and Direction




Physician's Profile

Full NameDr Fanta Elizabeth Kasiah
GenderFemale
SpecialityEmergency Medicine
Experience15 Years
Location104 N Belair Rd, Evans, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Fanta Elizabeth Kasiah graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1639480684
  • Provider Enumeration Date: 06/24/2010
  • Last Update Date: 10/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729227178
  • Enrollment ID: I20130909000461

Medical Identifiers

Medical identifiers for Dr Fanta Elizabeth Kasiah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639480684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4212 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Mcduffie County Regional Medical CenterThomson, GAHospital
University HospitalAugusta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians United Urgent Care, P.c.93355531632
Southland Burke Emergency Medical Services, Llc953754740119

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. Dr Fanta Elizabeth Kasiah allows following entities to bill medicare on her behalf.
Entity NameAu Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188
Entity NameEmanuel County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003221243
PECOS PAC ID: 3577473040
Enrollment ID: O20040107000256
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20040901000766
Entity NameMed Now Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245475771
PECOS PAC ID: 5799835153
Enrollment ID: O20090608000055
Entity NameSouthland Emergency Medical Services Consolidated, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033464391
PECOS PAC ID: 4183871320
Enrollment ID: O20120823000503
Entity NameBurke County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053672527
PECOS PAC ID: 5193971422
Enrollment ID: O20130401000294
Entity NamePhysicians United Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497313258
PECOS PAC ID: 9335553163
Enrollment ID: O20210205001439
Entity NameSouthland Burke Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235885815
PECOS PAC ID: 9537547401
Enrollment ID: O20220606000360
Entity NamePeach State Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053170605
PECOS PAC ID: 7719328038
Enrollment ID: O20240516002831

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. Dr Fanta Elizabeth Kasiah 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
Dr Fanta Elizabeth Kasiah, MD
104 N Belair Rd, Suite 101,
Evans, GA 30809-6503

Ph: (706) 922-3669		Dr Fanta Elizabeth Kasiah, MD
104 N Belair Rd, Suite 101,
Evans, GA 30809-6503

Ph: (706) 922-3669

Reviews and Comments


Family Medicine Doctors in Evans, GA

Shireen Qureshi Moore, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 363 N Belair Rd, Evans, GA 30809
Phone: 706-650-7563    Fax: 706-650-9540
Dr. Sherry T Barinowski, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 465 N Belair Rd, Suite 1c, Evans, GA 30809
Phone: 706-854-2160    Fax: 706-854-2930
Dr. Kevin Kennedy Trapnell, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 447 N Belair Rd, # 101, Evans, GA 30809
Phone: 706-854-2222    Fax: 706-854-2223
Courtney Rambo Corley, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 465 N Belair Rd Ste 2b, Evans, GA 30809
Phone: 706-774-7400    
Dr. Dorthe Rauholt Peloquin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4344 Hardy Mcmanus Rd, Evans, GA 30809
Phone: 706-863-2810    Fax: 706-863-3233
Dr. John William Richards Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3914 Mullikin Rd, Evans, GA 30809
Phone: 706-877-4705    
Kelley Velinda Mondi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 465 N Belair Rd, Suite 1c, Evans, GA 30809
Phone: 706-854-2160    Fax: 706-854-2930

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.