Kayla Thomas, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Peoria, Illinois. Her current practice location is
530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 655-4940.
Kayla Thomas is licensed to practice in * (Not Available) (license number ) 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 1235717448.
Physician's Profile
Full Name | Kayla Thomas |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
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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: 1235717448
- Provider Enumeration Date: 03/30/2021
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062818032
- Enrollment ID: I20210831002267
Medical Identifiers
Medical identifiers for Kayla Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235717448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 336.125061 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kayla 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 |
Kayla Thomas, DO 10451 Redwood Dr, Saint John, IN 46373-8784 Ph: (219) 718-0542 | Kayla Thomas, DO 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: (309) 655-4940 |
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