Brandi Leanne Thoma, is a medicare enrolled "Nurse Practitioner - Family" physician in Tullahoma, Tennessee. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Amg-southern Tennessee Llc and her current practice location is
108 W Blackwell St, Tullahoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 841-3821.
Brandi Leanne Thoma is licensed to practice in Tennessee (license number 27351) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780204339.
Physician's Profile
| Full Name | Brandi Leanne Thoma |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 108 W Blackwell St, Tullahoma, Tennessee |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandi Leanne Thoma graduated from medical school in 2019
NPI Data:
- NPI Number: 1780204339
- Provider Enumeration Date: 04/23/2020
- Last Update Date: 03/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507287604
- Enrollment ID: I20200527003139
Medical Identifiers
Medical identifiers for Brandi Leanne Thoma such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780204339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 27351 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 27351 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Amg-southern Tennessee Llc | 5991765943 | 49 |
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. Brandi Leanne Thoma allows following entities to bill medicare on her behalf.
| Entity Name | Amg-southern Tennessee Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164789467
PECOS PAC ID: 5991765943
Enrollment ID: O20041013001206 |
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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. Brandi Leanne Thoma 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 |
|---|
Brandi Leanne Thoma,
108 W Blackwell St,
Tullahoma, TN 37388-3505
Ph: (931) 841-3821 | Brandi Leanne Thoma,
108 W Blackwell St,
Tullahoma, TN 37388-3505
Ph: (931) 841-3821 |
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