Thomas Locke, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Novi, Michigan. His current practice location is
41800 W 11 Mile Rd Ste 109, Novi, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 660-1220.
Thomas Locke is licensed to practice in Ohio (license number 35.148420) 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 1770112724.
Physician's Profile
| Full Name | Thomas Locke |
|---|
| Gender | Male |
|---|
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
|---|
| Location | 41800 W 11 Mile Rd Ste 109, Novi, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1770112724
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628495397
- Enrollment ID: I20230919000886
Medical Identifiers
Medical identifiers for Thomas Locke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770112724 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 35.148420 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 35.148420 (Ohio) | 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. Thomas Locke allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Vascular & Varicose Vein Center Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1255492203
PECOS PAC ID: 4688776818
Enrollment ID: O20070219000620 |
|---|
| Entity Name | Theoria Medical |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20200728002910 |
|---|
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. Thomas Locke 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 |
|---|
Thomas Locke, MD
6800 Encore Cir Unit 143,
Maumee, OH 43537-7808
Ph: (563) 379-8686 | Thomas Locke, MD
41800 W 11 Mile Rd Ste 109,
Novi, MI 48375-1818
Ph: (248) 660-1220 |
Reviews and Comments