Thomas M Mushong, PA is a medicare enrolled "Physician Assistant" physician in Grand Rapids, Michigan. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Visionary Medical Services, Pc and his current practice location is
100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 391-1680.
Thomas M Mushong is licensed to practice in Michigan (license number 5601003863) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1699749366.
Physician's Profile
| Full Name | Thomas M Mushong |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 100 Michigan St Ne, Grand Rapids, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Thomas M Mushong graduated from medical school in 2002
NPI Data:
- NPI Number: 1699749366
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 09/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 5597772061
- Enrollment ID: I20060309000037
Medical Identifiers
Medical identifiers for Thomas M Mushong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699749366 | NPI | - | NPPES |
| 110D111790 | Other | MI | BCBSM |
| P00397289 | Other | MI | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 5601003863 (Michigan) | Secondary |
| 363A00000X | Physician Assistant | 5601003863 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Visionary Medical Services, Pc | 1951404185 | 50 |
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 M Mushong 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 M Mushong, PA
2537 Momentum Pl,
Chicago, IL 60689-5325
Ph: (616) 975-1845 | Thomas M Mushong, PA
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
Ph: (616) 391-1680 |
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