Thaila Keodouangdy, - Medicare Nurse Practitioner in Citronelle, AL

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Thaila Keodouangdy, is a medicare enrolled "Nurse Practitioner - Family" in Citronelle, Alabama. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mobile County Board Of Health and her current practice location is 19250 N Mobile St, Citronelle, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 866-9126.

Thaila Keodouangdy is licensed to practice in Alabama (license number 1-136625) 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 1104448919.

Contact Information

Thaila Keodouangdy,
19250 N Mobile St,
Citronelle, AL 36522-2122
(251) 866-9126
Not Available

Map and Direction




Provider's Profile

Full NameThaila Keodouangdy
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location19250 N Mobile St, Citronelle, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Thaila Keodouangdy graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104448919
  • Provider Enumeration Date: 05/14/2020
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5991116451
  • Enrollment ID: I20201204001933

Medical Identifiers

Medical identifiers for Thaila Keodouangdy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104448919NPI-NPPES
261555MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1-136625 (Alabama)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mobile County Board Of Health993120838622

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. Thaila Keodouangdy allows following entities to bill medicare on her behalf.
Entity NameMobile County Board Of Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063439065
PECOS PAC ID: 9931208386
Enrollment ID: O20180913000728

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. Thaila Keodouangdy 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
Thaila Keodouangdy,
Po Box 2867,
Mobile, AL 36652-2867

Ph: (251) 690-8158		Thaila Keodouangdy,
19250 N Mobile St,
Citronelle, AL 36522-2122

Ph: (251) 866-9126

Reviews and Comments


Nurse Practitioner Nurses in Citronelle, AL

Mr. Charles Seth Davis, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 19250 N Mobile St, Citronelle, AL 36522
Phone: 251-866-7454    Fax: 251-866-9121
Ms. Hillary Macall Whitfield, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19140 S 3rd St, Citronelle, AL 36522
Phone: 251-866-0086    
Nancy Ursprung, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 19250 N Mobile St, Citronelle, AL 36522
Phone: 251-866-7454    Fax: 251-866-9121

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.