Dr Sie Yeon Thomas, DC is a medicare enrolled "Nurse Practitioner - Family" provider in Dallas, Texas. Her current practice location is
2525 Centerville Rd, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 327-4503.
Dr Sie Yeon Thomas is licensed to practice in Texas (license number 783003) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164582011.
Healthcare Provider's Profile
Full Name | Dr Sie Yeon Thomas |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2525 Centerville Rd, Dallas, Texas |
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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: 1164582011
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 09/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 5294057857
- Enrollment ID: I20141210000213
Medical Identifiers
Medical identifiers for Dr Sie Yeon Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164582011 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NR0400X | Chiropractor - Rehabilitation | 9122 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 783003 (Texas) | 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. Dr Sie Yeon Thomas allows following entities to bill medicare on her behalf.
Provider Name | Bruce E Wardle Do Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1386765162 PECOS PAC ID: 5799769477 Enrollment ID: O20040618000127 |
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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. Dr Sie Yeon 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 |
Dr Sie Yeon Thomas, DC Po Box 732917, Dallas, TX 75373-2917 Ph: (972) 623-8974 | Dr Sie Yeon Thomas, DC 2525 Centerville Rd, Dallas, TX 75228-2693 Ph: (214) 327-4503 |
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