Mr Thomas Laroy Kolt, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Rancho Santa Margarita, California. His current practice location is
22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, California. You can reach out to his office (for appointments etc.) via phone at
(855) 727-2251.
Mr Thomas Laroy Kolt is licensed to practice in California (license number PA11655) 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 1841223807.
Physician's Profile
| Full Name | Mr Thomas Laroy Kolt |
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| Gender | Male |
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| Speciality | Physician Assistant - Surgical |
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| Location | 22431 Antonio Pkwy # B160-613, Rancho Santa Margarita, California |
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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: 1841223807
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 11/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870587983
- Enrollment ID: I20120327000832
Medical Identifiers
Medical identifiers for Mr Thomas Laroy Kolt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841223807 | NPI | - | NPPES |
| 11655 | Other | CA | PHYSICIAN ASSISTANT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | PA11655 (California) | Secondary |
| 363A00000X | Physician Assistant | PA11655 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA11655 (California) | 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. Mr Thomas Laroy Kolt 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 |
|---|
Mr Thomas Laroy Kolt, PA-C
22431 Antonio Pkwy # B160-613,
Rancho Santa Margarita, CA 92688-2804
Ph: (855) 727-2251 | Mr Thomas Laroy Kolt, PA-C
22431 Antonio Pkwy # B160-613,
Rancho Santa Margarita, CA 92688-2804
Ph: (855) 727-2251 |
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