Mr Thomas Francis Dissette Jr, - Registered Nurse in Maryville, IL

Mr Thomas Francis Dissette Jr, is a Registered Nurse - Emergency based in Maryville, Illinois. Mr Thomas Francis Dissette Jr is licensed to practice in Missouri (license number 2009011016) and his current practice location is 6720 Oxford Ln, Maryville, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 975-6692.

NPI number for Mr Thomas Francis Dissette Jr is 1235912791 and his current mailing address is 6720 Oxford Ln, Maryville, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235912791.

Contact Information

Mr Thomas Francis Dissette Jr,
6720 Oxford Ln,
Maryville, IL 62062-6876
(618) 975-6692
Not Available

Map and Direction




Provider's Profile

Full NameMr Thomas Francis Dissette Jr
GenderMale
SpecialityRegistered Nurse - Emergency
Location6720 Oxford Ln, Maryville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235912791
  • Provider Enumeration Date: 08/17/2023
  • Last Update Date: 08/17/2023

Medical Identifiers

Medical identifiers for Mr Thomas Francis Dissette Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235912791NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 2009011016 (Missouri)Primary
163WE0003XRegistered Nurse - Emergency 041507231 (Illinois)Secondary

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. Mr Thomas Francis Dissette Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Thomas Francis Dissette Jr,
6720 Oxford Ln,
Maryville, IL 62062-6876

Ph: (618) 975-6692
Mr Thomas Francis Dissette Jr,
6720 Oxford Ln,
Maryville, IL 62062-6876

Ph: (618) 975-6692

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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