Bruce Thomas, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Wisc Rapids, Wisconsin. His current practice location is
220 24th St South, Wisc Rapids, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 424-8777.
Bruce Thomas is licensed to practice in Wisconsin (license number 4114) 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 1619077583.
Healthcare Provider's Profile
Full Name | Bruce Thomas |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 220 24th St South, Wisc Rapids, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619077583
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800943614
- Enrollment ID: I20090414000543
Medical Identifiers
Medical identifiers for Bruce Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619077583 | NPI | - | NPPES |
33748100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4114 (Wisconsin) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 4114 (Wisconsin) | 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. Bruce Thomas allows following entities to bill medicare on his behalf.
Entity Name | Dental Associates Ltd Of Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518266998 PECOS PAC ID: 0244402220 Enrollment ID: O20111018000066 |
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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. Bruce 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 |
Bruce Thomas, DDS 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: () - | Bruce Thomas, DDS 220 24th St South, Wisc Rapids, WI 54494 Ph: (715) 424-8777 |
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