Mrs Diane Sue Thomas, MD is a medicare enrolled "Pediatrics" physician in Lebanon, Kentucky. Her current practice location is
311 W High St, Lebanon, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 692-5811.
Mrs Diane Sue Thomas is licensed to practice in Kentucky (license number 32504) 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 1861458374.
Physician's Profile
Full Name | Mrs Diane Sue Thomas |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 311 W High St, Lebanon, Kentucky |
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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: 1861458374
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355619511
- Enrollment ID: I20170613001600
Medical Identifiers
Medical identifiers for Mrs Diane Sue Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861458374 | NPI | - | NPPES |
64325046 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | 32504 (Kentucky) | Secondary |
208000000X | Pediatrics | 32504 (Kentucky) | Primary |
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. Mrs Diane Sue Thomas allows following entities to bill medicare on her behalf.
Entity Name | Spring View Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154739399 PECOS PAC ID: 3476557000 Enrollment ID: O20060913000014 |
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Entity Name | Cumberland Family Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433 |
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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. Mrs Diane Sue 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 |
Mrs Diane Sue Thomas, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Mrs Diane Sue Thomas, MD 311 W High St, Lebanon, KY 40033 Ph: (270) 692-5811 |
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