Kelly E Daus, PA-C is a medicare enrolled "Physician Assistant - Medical" in Glennville, Georgia. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southern Medical Group, Thompson Medical Associates Llc and her current practice location is
601 S Veterans Blvd, Glennville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 654-0475.
Kelly E Daus is licensed to practice in Georgia (license number 5597) 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 1831421908.
Provider's Profile
| Full Name | Kelly E Daus |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 601 S Veterans Blvd, Glennville, Georgia |
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| Accepts Medicare Assignments | Yes. She 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:
- Kelly E Daus graduated from nursing school in 2003
NPI Data:
- NPI Number: 1831421908
- Provider Enumeration Date: 02/01/2010
- Last Update Date: 02/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 3577465186
- Enrollment ID: I20100310000794
Medical Identifiers
Medical identifiers for Kelly E Daus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831421908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 5597 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Medical Group | 7113828609 | 7 |
| Thompson Medical Associates Llc | 7618462201 | 3 |
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. Kelly E Daus allows following entities to bill medicare on her behalf.
| Entity Name | Southern Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871677880
PECOS PAC ID: 7113828609
Enrollment ID: O20040116001029 |
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| Entity Name | Thompson Medical Associates LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700756962
PECOS PAC ID: 7618462201
Enrollment ID: O20251221000102 |
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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. Kelly E Daus 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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Kelly E Daus, PA-C
601 S Veterans Blvd,
Glennville, GA 30427-1775
Ph: (912) 654-0475 | Kelly E Daus, PA-C
601 S Veterans Blvd,
Glennville, GA 30427-1775
Ph: (912) 654-0475 |
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