Shirley Thomas, FNP-BC in Macomb, MI - Medicare Nurse Practitioner

Shirley Thomas, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Macomb, Michigan. Her current practice location is 49288 Gaviota Ln, Macomb, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 864-4703.

Shirley Thomas is licensed to practice in Michigan (license number 4704219948NSA2111G) 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 1306591011.

Contact Information

	Shirley Thomas, FNP-BC
	49288 Gaviota Ln, Macomb, MI 48044-1164
	(586) 864-4703
	Not Available

Map and Direction

Provider's Profile

Full Name	Shirley Thomas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	49288 Gaviota Ln, Macomb, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306591011
Provider Enumeration Date: 02/21/2022
Last Update Date: 02/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2365812039
Enrollment ID: I20221222000206

Medical Identifiers

Medical identifiers for Shirley Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306591011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704219948NSA2111G (Michigan)	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. Shirley Thomas allows following entities to bill medicare on her behalf.

Entity Name	Michigan Sports And Spine Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205887262 PECOS PAC ID: 0749243467 Enrollment ID: O20041104000371

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. Shirley 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
Shirley Thomas, FNP-BC 49288 Gaviota Ln, Macomb, MI 48044-1164 Ph: (586) 864-4703	Shirley Thomas, FNP-BC 49288 Gaviota Ln, Macomb, MI 48044-1164 Ph: (586) 864-4703

Reviews and Comments

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Nicole Marie Trudeau-klimek, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17900 23 Mile Rd Ste 101, Macomb, MI 48044 Phone: 586-868-9200 Fax: 586-868-9201
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Christina Leigh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21844 23 Mile Rd, Macomb, MI 48042 Phone: 586-598-8115 Fax: 586-789-7426
Kimberly Snyder, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46867 Creekside Blvd, Macomb, MI 48044 Phone: 248-302-9116
Brian Mangenje, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17866 Player Dr, Macomb, MI 48042 Phone: 248-413-5014
Mrs. Krystal Ann Marshall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19159 Gearhart Dr, Macomb, MI 48042 Phone: 586-551-5886

Shirley Thomas, FNP-BC - Medicare Nurse Practitioner in Macomb, MI