Jacqueline Claire Thomas, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Summerdale, Alabama. Her current practice location is
19283 Highway 59, Summerdale, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 523-5437.
Jacqueline Claire Thomas is licensed to practice in Alabama (license number 1-164375) 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 1366189896.
Provider's Profile
Full Name | Jacqueline Claire Thomas |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 19283 Highway 59, Summerdale, Alabama |
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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: 1366189896
- Provider Enumeration Date: 05/17/2022
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335515170
- Enrollment ID: I20221019000106
Medical Identifiers
Medical identifiers for Jacqueline Claire Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366189896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0200X | Nurse Practitioner - Pediatrics | 1-164375 (Alabama) | 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. Jacqueline Claire Thomas allows following entities to bill medicare on her behalf.
Entity Name | Usa Health Physician Billing Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
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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. Jacqueline Claire 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 |
Jacqueline Claire Thomas, 19283 Highway 59, Summerdale, AL 36580-3005 Ph: () - | Jacqueline Claire Thomas, 19283 Highway 59, Summerdale, AL 36580-3005 Ph: (251) 523-5437 |
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