Nirandr Inthachak, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Douglas, Georgia. He graduated from medical school in 1972 and has 53 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Universal Radiology Consultants Pc and his current practice location is
1101 Ocilla Rd, Douglas, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 384-1900.
Nirandr Inthachak is licensed to practice in Georgia (license number 020744) 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 1013900489.
Physician's Profile
| Full Name | Nirandr Inthachak |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 53 Years |
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| Location | 1101 Ocilla Rd, Douglas, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nirandr Inthachak graduated from medical school in 1972
NPI Data:
- NPI Number: 1013900489
- Provider Enumeration Date: 08/31/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961580584
- Enrollment ID: I20080423000279
Medical Identifiers
Medical identifiers for Nirandr Inthachak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013900489 | NPI | - | NPPES |
| 020744 | Other | GA | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 020744 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Universal Radiology Consultants Pc | 2769485655 | 18 |
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. Nirandr Inthachak allows following entities to bill medicare on his behalf.
| Entity Name | Clinch County Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861478851
PECOS PAC ID: 7416849922
Enrollment ID: O20040329000922 |
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| Entity Name | Universal Radiology Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689606188
PECOS PAC ID: 2769485655
Enrollment ID: O20060815000151 |
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| Entity Name | South Georgia Radiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760669931
PECOS PAC ID: 0042389231
Enrollment ID: O20080514000110 |
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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. Nirandr Inthachak 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 |
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Nirandr Inthachak, MD
1101 Ocilla Rd,
Douglas, GA 31533-2207
Ph: () - | Nirandr Inthachak, MD
1101 Ocilla Rd,
Douglas, GA 31533-2207
Ph: (912) 384-1900 |
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