Ms Kenisha Voncille Thomas, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" physician in Henderson, Nevada. Her current practice location is
1485 W Warm Springs Rd, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 482-9980.
Ms Kenisha Voncille Thomas is licensed to practice in Nevada (license number 816281) 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 1609359165.
Physician's Profile
| Full Name | Ms Kenisha Voncille Thomas |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1485 W Warm Springs Rd, Henderson, Nevada |
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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: 1609359165
- Provider Enumeration Date: 09/11/2018
- Last Update Date: 08/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911242268
- Enrollment ID: I20181214001982
Medical Identifiers
Medical identifiers for Ms Kenisha Voncille Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609359165 | NPI | - | NPPES |
| 1609359165 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 95009368 (California) | Secondary |
| 208D00000X | General Practice | 95009368 (California) | Secondary |
| 208D00000X | General Practice | 816281 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | NP95009368 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP215783 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 816281 (Nevada) | 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. Ms Kenisha Voncille Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Clinicas Del Camino Real Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679631907
PECOS PAC ID: 3173434396
Enrollment ID: O20040205001238 |
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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. Ms Kenisha Voncille 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 |
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Ms Kenisha Voncille Thomas, NURSE PRACTITIONER
2764 N Green Valley Pkwy # 469,
Henderson, NV 89014-2120
Ph: (504) 610-5194 | Ms Kenisha Voncille Thomas, NURSE PRACTITIONER
1485 W Warm Springs Rd,
Henderson, NV 89014-7631
Ph: (702) 482-9980 |
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