Sackdinanh Nok Keomahathai, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Cartersville, Georgia. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Interventional Pain Specialists Of Georgia Llc and his current practice location is
650 Henderson Dr Ste 409, Cartersville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(470) 274-2800.
Sackdinanh Nok Keomahathai is licensed to practice in Georgia (license number 051054) 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 1083775670.
Physician's Profile
| Full Name | Sackdinanh Nok Keomahathai |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 29 Years |
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| Location | 650 Henderson Dr Ste 409, Cartersville, 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. |
Medical Education and Training:
- Sackdinanh Nok Keomahathai attended and graduated from Virginia Commonwealth University, School Of Medicine in 1996
NPI Data:
- NPI Number: 1083775670
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002867447
- Enrollment ID: I20050203000156
Medical Identifiers
Medical identifiers for Sackdinanh Nok Keomahathai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083775670 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 051054 (Georgia) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 051054 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 051054 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Interventional Pain Specialists Of Georgia Llc | 6709222730 | 2 |
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. Sackdinanh Nok Keomahathai allows following entities to bill medicare on his behalf.
| Entity Name | The Interventional Spine And Pain Management Center, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
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| Entity Name | Interventional Pain Specialists Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205698396 PECOS PAC ID: 6709222730 Enrollment ID: O20240312002841 |
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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. Sackdinanh Nok Keomahathai 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 |
Sackdinanh Nok Keomahathai, MD 650 Henderson Dr Ste 409, Cartersville, GA 30120-3758 Ph: (470) 274-2800 | Sackdinanh Nok Keomahathai, MD 650 Henderson Dr Ste 409, Cartersville, GA 30120-3758 Ph: (470) 274-2800 |
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