Thomas Fay, is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Maryville, Illinois. His current practice location is
6800 State Route 162, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 391-6140.
Thomas Fay is licensed to practice in Illinois (license number 036160350) 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 1528592789.
Physician's Profile
Full Name | Thomas Fay |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 6800 State Route 162, Maryville, Illinois |
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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: 1528592789
- Provider Enumeration Date: 04/14/2017
- Last Update Date: 05/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870862030
- Enrollment ID: I20220617001324
Medical Identifiers
Medical identifiers for Thomas Fay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528592789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2020041595 (Missouri) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036160350 (Illinois) | 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. Thomas Fay allows following entities to bill medicare on his behalf.
Entity Name | Ssm Health Care Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
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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. Thomas Fay 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 |
Thomas Fay, 1831 Chestnut St Ste 650, Saint Louis, MO 63103-2236 Ph: (314) 977-6828 | Thomas Fay, 6800 State Route 162, Maryville, IL 62062-8500 Ph: (618) 391-6140 |
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