Ashley Thomas, DO is a medicare enrolled "Family Medicine" physician in Clintonville, Wisconsin. Her current practice location is
370 S Main St, Clintonville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 823-5161.
Ashley Thomas is licensed to practice in Wisconsin (license number 81299) 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 1376108134.
Physician's Profile
| Full Name | Ashley Thomas |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 370 S Main St, Clintonville, Wisconsin |
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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: 1376108134
- Provider Enumeration Date: 05/07/2019
- Last Update Date: 01/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456769744
- Enrollment ID: I20240122003882
Medical Identifiers
Medical identifiers for Ashley Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376108134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 81299 (Wisconsin) | Primary |
| 207Q00000X | Family Medicine | 009666 (Arizona) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Ashley Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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| Entity Name | Thedacare Medical Center - Shawano, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117 |
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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. Ashley 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 |
|---|
Ashley Thomas, DO
3 Neenah Ctr,
Neenah, WI 54956-3070
Ph: (715) 823-5161 | Ashley Thomas, DO
370 S Main St,
Clintonville, WI 54929-1632
Ph: (715) 823-5161 |
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