Mychell Thomas, is a
Licensed Practical Nurse based in Ridgeland, Mississippi. Mychell Thomas is licensed to practice in Mississippi (license number P330299) and her current practice location is
199 Charmant Place, Ridgeland, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 790-9175.
NPI number for Mychell Thomas is 1124631023 and her current mailing address is 199 Charmant Place, Ridgeland, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124631023.
Provider's Profile
| Full Name | Mychell Thomas |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 199 Charmant Place, Ridgeland, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124631023
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 08/28/2020
Medical Identifiers
Medical identifiers for Mychell Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124631023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P330299 (Mississippi) | Primary |
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. Mychell Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mychell Thomas,
199 Charmant Place,
Ridgeland, MS 39157
Ph: (601) 790-9175 | Mychell Thomas,
199 Charmant Place,
Ridgeland, MS 39157
Ph: (601) 790-9175 |
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