Dr Thomas Henry Vincent Ii, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Nipomo, California. His current practice location is
620 W Tefft St, Nipomo, California. You can reach out to his office (for appointments etc.) via phone at
(805) 929-8055.
Dr Thomas Henry Vincent Ii is licensed to practice in California (license number E3864) 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 1881621639.
Healthcare Provider's Profile
Full Name | Dr Thomas Henry Vincent Ii |
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Gender | Male |
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Speciality | Podiatrist - Foot & Ankle Surgery |
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Location | 620 W Tefft St, Nipomo, 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: 1881621639
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840300463
- Enrollment ID: I20110517000783
Medical Identifiers
Medical identifiers for Dr Thomas Henry Vincent Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881621639 | NPI | - | NPPES |
000E38640 | Medicaid | CA | |
480015952 | Other | CA | RAILROAD MEDICARE |
RHC140373 | Other | CA | RADIOGRAPHY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | E3864 (California) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | E3864 (California) | Primary |
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. Dr Thomas Henry Vincent Ii 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 |
Dr Thomas Henry Vincent Ii, DPM 620 W Tefft St, Nipomo, CA 93444-9187 Ph: (805) 929-8055 | Dr Thomas Henry Vincent Ii, DPM 620 W Tefft St, Nipomo, CA 93444-9187 Ph: (805) 929-8055 |
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