Mr Keith W Munoz Sr, PA-C - Medicare Physician Assistant in Thomasville, GA

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Mr Keith W Munoz Sr, PA-C is a medicare enrolled "Physician Assistant" in Thomasville, Georgia. His current practice location is 100 S Madison St, Thomasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 236-0831.

Mr Keith W Munoz Sr is licensed to practice in Georgia (license number 004279) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437193927.

Contact Information

Mr Keith W Munoz Sr, PA-C
100 S Madison St,
Thomasville, GA 31792-5473
(229) 236-0831
(229) 236-0871

Map and Direction




Provider's Profile

Full NameMr Keith W Munoz Sr
GenderMale
SpecialityPhysician Assistant
Location100 S Madison St, Thomasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437193927
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 06/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6406824556
  • Enrollment ID: I20120829000227

Medical Identifiers

Medical identifiers for Mr Keith W Munoz Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437193927NPI-NPPES
299512679CMedicaidGA
P001145189OtherGARAILROAD
083704148OtherGATRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 004279 (Georgia)Primary

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. Mr Keith W Munoz Sr allows following entities to bill medicare on his behalf.
Entity NameSouthland-nashville Emergency Services, LLC.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639467038
PECOS PAC ID: 9133390214
Enrollment ID: O20110921000500
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 NameSouthland - Lakeland Medical Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821341397
PECOS PAC ID: 5890947980
Enrollment ID: O20121219000267
Entity NameSgmp Southland, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447695085
PECOS PAC ID: 1153563770
Enrollment ID: O20130812000452
Entity NameSouthland Consolidated Emergency Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917124
PECOS PAC ID: 2860792066
Enrollment ID: O20151119001289
Entity NameSouthland Optim Screven Emergency Medical Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917157
PECOS PAC ID: 9739480021
Enrollment ID: O20151210000476
Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629
Entity NameSgmc Affiliated Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114740362
PECOS PAC ID: 5496284028
Enrollment ID: O20250128002845

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. Mr Keith W Munoz Sr 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
Mr Keith W Munoz Sr, PA-C
Po Box 1276,
Thomasville, GA 31799-1276

Ph: (229) 236-0831		Mr Keith W Munoz Sr, PA-C
100 S Madison St,
Thomasville, GA 31792-5473

Ph: (229) 236-0831

Reviews and Comments


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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.