Kayla Thomas, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Shuqualak, Mississippi. Her current practice location is
192 College St, Shuqualak, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 361-9482.
Kayla Thomas is licensed to practice in Mississippi (license number 905608) 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 1609593763.
Provider's Profile
Full Name | Kayla Thomas |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 192 College St, Shuqualak, Mississippi |
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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: 1609593763
- Provider Enumeration Date: 10/20/2022
- Last Update Date: 10/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496127656
- Enrollment ID: I20230216000977
Medical Identifiers
Medical identifiers for Kayla Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609593763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 905608 (Mississippi) | 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. Kayla Thomas allows following entities to bill medicare on her behalf.
Entity Name | United Emergency Services Of Mississippi |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801983309 PECOS PAC ID: 9739188046 Enrollment ID: O20061214000504 |
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Entity Name | Fast Pace Mississippi Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
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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. Kayla 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 |
Kayla Thomas, FNP-BC Po Box 96, Shuqualak, MS 39361-0096 Ph: () - | Kayla Thomas, FNP-BC 192 College St, Shuqualak, MS 39361 Ph: (662) 361-9482 |
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