Dr Deric D Thomson, MD, DMD is a medicare enrolled "Plastic Surgery - Plastic Surgery Within The Head And Neck" provider in Saint Johns, Florida. His current practice location is
63 Forest Edge Dr, Saint Johns, Florida. You can reach out to his office (for appointments etc.) via phone at
(404) 759-4507.
Dr Deric D Thomson is licensed to practice in Florida (license number 38404) 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 1801353941.
Healthcare Provider's Profile
Full Name | Dr Deric D Thomson |
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Gender | Male |
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Speciality | Plastic Surgery - Plastic Surgery Within The Head And Neck |
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Location | 63 Forest Edge Dr, Saint Johns, Florida |
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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: 1801353941
- Provider Enumeration Date: 02/25/2019
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385979442
- Enrollment ID: I20190711000928
Medical Identifiers
Medical identifiers for Dr Deric D Thomson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801353941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN24343 (Florida) | Secondary |
2082S0099X | Plastic Surgery - Plastic Surgery Within The Head And Neck | 38404 (Florida) | 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 Deric D Thomson 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 Deric D Thomson, MD, DMD 63 Forest Edge Dr, Saint Johns, FL 32259-7311 Ph: (404) 759-4507 | Dr Deric D Thomson, MD, DMD 63 Forest Edge Dr, Saint Johns, FL 32259-7311 Ph: (404) 759-4507 |
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