| Allen Thomas, PA-C | |
|
1801 Windsor Rd, Champaign, IL 61822-6217 | |
| (217) 366-8130 | |
| (217) 366-6106 |
| Full Name | Allen Thomas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 1801 Windsor Rd, Champaign, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033136635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA229271 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | 085-000889 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physicians Immediate Care North Chicago Llc | 8729064159 | 256 |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Thomas, PA-C 101 W University Ave, Champaign, IL 61820-3909 Ph: (217) 366-8107 | Allen Thomas, PA-C 1801 Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-8130 |
Ellen Flora, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1248 |
Kristine S Anderson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1802 S Mattis Ave, Champaign, IL 61821 Phone: 217-383-3260 Fax: 217-383-4459 |
Jessica Bolger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1228 |
Julie A Young, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1802 S. Mattis Avenue, Orthopedics, Champaign, IL 61821 Phone: 217-383-3260 Fax: 217-383-4459 |
Whitney Kauffman, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-8107 Fax: 217-366-6106 |
Mr. James Edward Wallace Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 W University Ave, Spine And Pain Management, Champaign, IL 61820 Phone: 217-366-8796 Fax: 217-366-6106 |
River Andres, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 819 Bloomington Rd, Champaign, IL 61820 Phone: 217-356-1558 |