Thomas King, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Andreas, California. His current practice location is
768 Mountain Ranch Rd, San Andreas, California. You can reach out to his office (for appointments etc.) via phone at
(209) 754-2520.
Thomas King is licensed to practice in California (license number 784345) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497005268.
Provider's Profile
Full Name | Thomas King |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 768 Mountain Ranch Rd, San Andreas, California |
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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: 1497005268
- Provider Enumeration Date: 09/19/2012
- Last Update Date: 03/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 8123316403
- Enrollment ID: I20161019002880
Medical Identifiers
Medical identifiers for Thomas King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497005268 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 784345 (California) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | 785345 (California) | Secondary |
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. Thomas King allows following entities to bill medicare on his behalf.
Entity Name | Rodger S. Orman, Md, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932324258 PECOS PAC ID: 7618910670 Enrollment ID: O20050609001121 |
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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. Thomas King 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 |
Thomas King, FNP 768 Mountain Ranch Rd, San Andreas, CA 95249 Ph: (209) 754-2520 | Thomas King, FNP 768 Mountain Ranch Rd, San Andreas, CA 95249 Ph: (209) 754-2520 |
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