Latonya R Thomas, MSW is a medicare enrolled "Social Worker - Clinical" provider in Clarksdale, Mississippi. Her current practice location is
122 Desoto Ave Ste 109, Clarksdale, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 592-5397.
Latonya R Thomas is licensed to practice in Mississippi (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 1861701740.
Healthcare Provider's Profile
| Full Name | Latonya R Thomas |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 122 Desoto Ave Ste 109, Clarksdale, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861701740
- Provider Enumeration Date: 09/27/2010
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426431651
- Enrollment ID: I20220819001910
Medical Identifiers
Medical identifiers for Latonya R Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861701740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Arkansas) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Mississippi) | 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. Latonya R Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Tallahatchie General Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679733497
PECOS PAC ID: 1052208097
Enrollment ID: O20040303000646 |
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| Entity Name | Total Life Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053909267
PECOS PAC ID: 8123433034
Enrollment ID: O20230125001611 |
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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. Latonya R Thomas 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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Latonya R Thomas, MSW
122 Desoto Ave Ste 109,
Clarksdale, MS 38614-4440
Ph: (662) 592-5397 | Latonya R Thomas, MSW
122 Desoto Ave Ste 109,
Clarksdale, MS 38614-4440
Ph: (662) 592-5397 |
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