Travis L Thomas, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Charleston, South Carolina. His current practice location is
109 Bee St, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 577-5011.
Travis L Thomas is licensed to practice in Massachusetts (license number 118535) 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 1427281849.
Healthcare Provider's Profile
| Full Name | Travis L Thomas |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 109 Bee St, Charleston, South Carolina |
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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: 1427281849
- Provider Enumeration Date: 09/02/2009
- Last Update Date: 04/21/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658660048
- Enrollment ID: I20160525002567
Medical Identifiers
Medical identifiers for Travis L Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427281849 | NPI | - | NPPES |
| 1760596480 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 9753 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 118535 (Massachusetts) | 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. Travis L 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 |
|---|
Travis L Thomas, LICSW
109 Bee St,
Charleston, SC 29401-5703
Ph: (843) 577-5011 | Travis L Thomas, LICSW
109 Bee St,
Charleston, SC 29401-5703
Ph: (843) 577-5011 |
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