Kelly B Thomas, MD is a medicare enrolled "Dermatology" physician in Glenwood Springs, Colorado. She went to University Of Arizona College Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Glenwood Medical Assoc and her current practice location is
1830 Blake Ave, Glenwood Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 945-8503.
Kelly B Thomas is licensed to practice in Colorado (license number 46320) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659343689.
Physician's Profile
| Full Name | Kelly B Thomas |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 20 Years |
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| Location | 1830 Blake Ave, Glenwood Springs, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly B Thomas attended and graduated from University Of Arizona College Of Medicine in 2004
NPI Data:
- NPI Number: 1659343689
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 03/31/2009
Medicare PECOS Information:
- PECOS PAC ID: 5799718722
- Enrollment ID: I20090429000467
Medical Identifiers
Medical identifiers for Kelly B Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659343689 | NPI | - | NPPES |
| 139737 | Medicaid | AZ | |
| 992630500 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 47625 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 35743 (Arizona) | Secondary |
| 207N00000X | Dermatology | ME98103 (Florida) | Secondary |
| 207N00000X | Dermatology | 46320 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Glenwood Medical Assoc | 6901798404 | 14 |
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. Kelly B Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Grand River Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124074042
PECOS PAC ID: 7113837469
Enrollment ID: O20040310000898 |
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| Entity Name | Glenwood Medical Assoc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427191501
PECOS PAC ID: 6901798404
Enrollment ID: O20040329000887 |
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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. Kelly B 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 |
|---|
Kelly B Thomas, MD
1830 Blake Ave,
Glenwood Springs, CO 81601-4275
Ph: (970) 945-8503 | Kelly B Thomas, MD
1830 Blake Ave,
Glenwood Springs, CO 81601-4275
Ph: (970) 945-8503 |
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