Alyssa Nicole Thomas, DO is a medicare enrolled "Family Medicine" physician in Standish, Maine. Her current practice location is
111 Ossipee Trl E Ste 1153, Standish, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 661-4850.
Alyssa Nicole Thomas is licensed to practice in Maine (license number DO3862) 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 1104493345.
Physician's Profile
Full Name | Alyssa Nicole Thomas |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 111 Ossipee Trl E Ste 1153, Standish, Maine |
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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: 1104493345
- Provider Enumeration Date: 06/07/2021
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123428208
- Enrollment ID: I20240904003556
Medical Identifiers
Medical identifiers for Alyssa Nicole Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104493345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | DO3862 (Maine) | 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. Alyssa Nicole Thomas allows following entities to bill medicare on her behalf.
Entity Name | Mainehealth |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
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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. Alyssa Nicole 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 |
Alyssa Nicole Thomas, DO 111 Ossipee Trl E Ste 1153, Standish, ME 04084-6421 Ph: (207) 661-4850 | Alyssa Nicole Thomas, DO 111 Ossipee Trl E Ste 1153, Standish, ME 04084-6421 Ph: (207) 661-4850 |
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