Kisha Denise Thomas, MD | |
7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244-3324 | |
(904) 389-1010 | |
(904) 389-1082 |
Full Name | Kisha Denise Thomas |
---|---|
Gender | Female |
Speciality | Pain Management |
Experience | 14 Years |
Location | 7207 Golden Wings Rd Ste 100, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962728915 | NPI | - | NPPES |
000000947766 | Other | IN | ANTHEM |
201305360 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 01075431A (Indiana) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | ME137547 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Spine And Pain Physicians Llc | 9931092814 | 9 |
Entity Name | Riverside Spine & Pain Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639208648 PECOS PAC ID: 9931092814 Enrollment ID: O20040204000868 |
Mailing Address | Practice Location Address |
---|---|
Kisha Denise Thomas, MD 1100 Reid Pkwy, Medical Staff Services, Richmond, IN 47374-1157 Ph: (765) 935-8902 | Kisha Denise Thomas, MD 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244-3324 Ph: (904) 389-1010 |
Dr. Matthew Duwain Warrick, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-244-4195 Fax: 904-244-4908 | |
Dr. Andrea V Rivero, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Jared Paul Knecht, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Peter Louis Kovacs, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-421-2119 | |
Sarah G Bodin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1301 Riverplace Blvd Ste 2540, Jacksonville, FL 32207 Phone: 904-387-4030 | |
David Mcenerney Jr., DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 555 West 8th Street, 2nd Floor Pavilion, Jacksonville, FL 32209 Phone: 904-383-1020 | |
M. Elizabeth B Perry, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr, Suite 606, Jacksonville, FL 32207 Phone: 904-398-3356 Fax: 904-398-5397 |