| Thomas Internal Medicine, P.a. | |
|
15035 Ne Hwy 315 Fort Mc Coy FL 32134 | |
| (352) 236-2525 | |
| (352) 236-8610 |
| Full Name | Thomas Internal Medicine, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15035 Ne Hwy 315, Fort Mc Coy, Florida |
| Authorized Official Name and Position | Greyson Thomas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3522362525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Internal Medicine, P.a. 11512 E Highway 316 Fort Mc Coy FL 32134-8134 Ph: (352) 236-2525 | Thomas Internal Medicine, P.a. 15035 Ne Hwy 315 Fort Mc Coy FL 32134 Ph: (352) 236-2525 |
| NPI Number | 1164845038 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 12/11/2014 |
| Medicare PECOS PAC ID | 0345568580 |
|---|---|
| Medicare Enrollment ID | O20150417001819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164845038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dorothy J Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518952753 PECOS PAC ID: 6305742792 Enrollment ID: I20050311000122 |
| Provider Name | Greyson C Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467682104 PECOS PAC ID: 0042467623 Enrollment ID: I20120904000788 |
| Provider Name | Wendy M Kingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346712379 PECOS PAC ID: 7810388725 Enrollment ID: I20220104002229 |