Wycondaroga E Thomas, is a medicare enrolled "Nurse Practitioner - Family" in Gunnison, Mississippi. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
820 Ashland Avenue, Gunnison, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 987-5023.
Wycondaroga E Thomas is licensed to practice in Tennessee (license number 35217) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184091894.
Provider's Profile
| Full Name | Wycondaroga E Thomas |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 820 Ashland Avenue, Gunnison, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wycondaroga E Thomas graduated from nursing school in 2015
NPI Data:
- NPI Number: 1184091894
- Provider Enumeration Date: 08/28/2015
- Last Update Date: 07/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 8820390339
- Enrollment ID: I20151230000225
Medical Identifiers
Medical identifiers for Wycondaroga E Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184091894 | NPI | - | NPPES |
| 04784050 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R892043 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 890243 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 35217 (Tennessee) | 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. Wycondaroga E Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Healthy Living Family Medical Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154845840
PECOS PAC ID: 7911271747
Enrollment ID: O20170918002897 |
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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. Wycondaroga E 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 |
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Wycondaroga E Thomas,
Po Box 357,
Gunnison, MS 38746-0357
Ph: (662) 987-5023 | Wycondaroga E Thomas,
820 Ashland Avenue,
Gunnison, MS 38746
Ph: (662) 987-5023 |
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