| Shanise Thomas, | |
|
16 Brentwood Dr Ste A, Ithaca, NY 14850-1863 | |
| (607) 272-7000 | |
| Not Available |
| Full Name | Shanise Thomas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 16 Brentwood Dr Ste A, Ithaca, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023647013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 025928 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cayuga Medical Associates Pc | 6709897960 | 217 |
| Mailing Address | Practice Location Address |
|---|---|
| Shanise Thomas, 16 Brentwood Dr Ste A, Ithaca, NY 14850-1863 Ph: () - | Shanise Thomas, 16 Brentwood Dr Ste A, Ithaca, NY 14850-1863 Ph: (607) 272-7000 |
Paul Emerson Jones, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 | |
Ms. Paula Fitzsimmons, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1020 Craft Rd Ste C, Ithaca, NY 14850 Phone: 607-339-0625 Fax: 607-535-2714 | |
Rodger Joseph Lantz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-279-0199 | |
Rocco Rosano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr, Suite A, Ithaca, NY 14850 Phone: 607-272-7000 | |
Mr. Bryan R Gibb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 Fax: 607-272-4604 | |
Mahbuba Akter, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 E State St, Ithaca, NY 14850 Phone: 607-274-3011 |