Thomas Thomas, MD - Medicare Orthopaedic Surgery in Fresno, CA

Thomas Thomas, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fresno, California. His current practice location is 1630 E Herndon Ave, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 256-5200.

Thomas Thomas is licensed to practice in California (license number G61781) 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 1225011968.

Contact Information

Thomas Thomas, MD
1630 E Herndon Ave,
Fresno, CA 93720-3305
(559) 256-5200
(559) 256-5376

Map and Direction




Physician's Profile

Full NameThomas Thomas
GenderMale
SpecialityOrthopaedic Surgery
Location1630 E Herndon Ave, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225011968
  • Provider Enumeration Date: 11/28/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658391594
  • Enrollment ID: I20051206000962

Medical Identifiers

Medical identifiers for Thomas Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225011968NPI-NPPES
0161201OtherCASTATE OF WASHINGTON

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery G61781 (California)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 Thomas allows following entities to bill medicare on his behalf.
Entity NameSierra Pacific Orthopaedic Center Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285669655
PECOS PAC ID: 8426941105
Enrollment ID: O20040205001011
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

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 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 AddressPractice Location Address
Thomas Thomas, MD
1630 E Herndon Ave,
Fresno, CA 93720-3305

Ph: (559) 256-5200
Thomas Thomas, MD
1630 E Herndon Ave,
Fresno, CA 93720-3305

Ph: (559) 256-5200

Reviews and Comments


Orthopaedic Surgery Doctors in Fresno, CA

Eric Hanson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Robert Michele Mochizuki, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7255 N Cedar Ave, Suite 102, Fresno, CA 93720
Phone: 559-433-3374    Fax: 559-432-3378
Paramjeet Gill, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Jerome R Dunklin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1630 E Herndon Ave, Fresno, CA 93720
Phone: 559-256-5200    Fax: 559-256-5376
Dr. Samia Abdul Ghaffar, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 45 E River Park Pl W Ste 104, Fresno, CA 93720
Phone: 559-320-0530    Fax: 559-320-0532
William Timothy Brox, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4500    
Edward A Lembert, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7235 N 1st St, Suite 103, Fresno, CA 93720
Phone: 559-432-2600    Fax: 559-432-8518

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.