Thomas Speech Therapy Services Pllc is a medicare enrolled "Speech-language Pathologist" provider in Supply, North Carolina. Their current practice location is
20 Medical Campus Dr, Suite 204, Supply, North Carolina. You can reach out to their office (for appointments etc.) via phone at
(910) 612-1002.
Thomas Speech Therapy Services Pllc is licensed to practice in North Carolina (license number 6026) and it also participates in the medicare program. Thomas Speech Therapy Services Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1871860544.
Healthcare Provider's Profile
| Full Name | Thomas Speech Therapy Services Pllc |
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| Type | Facility |
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| Speciality | Speech-language Pathologist |
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| Location | 20 Medical Campus Dr, Supply, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871860544
- Provider Enumeration Date: 11/24/2011
- Last Update Date: 11/24/2011
Medicare PECOS Information:
- PECOS PAC ID: 4183891633
- Enrollment ID: O20120124000465
Medical Identifiers
Medical identifiers for Thomas Speech Therapy Services Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871860544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 6026 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Thomas Speech Therapy Services Pllc acts as a billing entity for following providers:
| Provider Name | Jessica Thomas |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1073801098
PECOS PAC ID: 4082881537
Enrollment ID: I20120124000477 |
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| Provider Name | Ashley M Surigao |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1891142790
PECOS PAC ID: 3274827118
Enrollment ID: I20160816000210 |
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| Provider Name | Laura Mcdaniel |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1740839695
PECOS PAC ID: 1456775287
Enrollment ID: I20240531000323 |
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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 Speech Therapy Services Pllc 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 Speech Therapy Services Pllc
1176 Woodbridge Ln Se,
Bolivia, NC 28422-8969
Ph: (910) 612-1002 | Thomas Speech Therapy Services Pllc
20 Medical Campus Dr, Suite 204,
Supply, NC 28462-4096
Ph: (910) 612-1002 |
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