Thanita Thongtan, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Ga 30322, Georgia. Her current practice location is
100 Woodruff Circle, Atlanta, Ga 30322, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 727-4018.
Thanita Thongtan is licensed to practice in Georgia (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558926071.
Physician's Profile
Full Name | Thanita Thongtan |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 100 Woodruff Circle, Atlanta, Ga 30322, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558926071
- Provider Enumeration Date: 05/09/2019
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 8729310586
- Enrollment ID: I20191028001372
Medical Identifiers
Medical identifiers for Thanita Thongtan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558926071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0100X | Internal Medicine - Gastroenterology | 01095800A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (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. Thanita Thongtan 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 |
Thanita Thongtan, MD 5520 Leonardo Da Vinci Ste 100, Edinburg, TX 78539-1422 Ph: (956) 362-3636 | Thanita Thongtan, MD 100 Woodruff Circle, Atlanta, Ga 30322, GA 30307-1422 Ph: (404) 727-4018 |
Reviews and Comments