Dr Blake Donald Thomas, DDS is a medicare enrolled "Dentist" provider in Quitman, Mississippi. His current practice location is
105 E Donald St, Quitman, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 776-2511.
Dr Blake Donald Thomas is licensed to practice in Mississippi (license number 2637-37) 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 1538179668.
Healthcare Provider's Profile
Full Name | Dr Blake Donald Thomas |
---|
Gender | Male |
---|
Speciality | Dentist |
---|
Location | 105 E Donald St, Quitman, Mississippi |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538179668
- Provider Enumeration Date: 08/09/2006
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103124078
- Enrollment ID: I20160408000667
Medical Identifiers
Medical identifiers for Dr Blake Donald Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538179668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2637-37 (Mississippi) | 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. Dr Blake Donald 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 |
Dr Blake Donald Thomas, DDS 105 E Donald St, Quitman, MS 39355-2342 Ph: (601) 776-2511 | Dr Blake Donald Thomas, DDS 105 E Donald St, Quitman, MS 39355-2342 Ph: (601) 776-2511 |
Reviews and Comments