| Andrea Nicole Thomas, PAC | |
|
1000 Eleven South 2e, Columbia, IL 62236 | |
| (618) 206-6120 | |
| Not Available |
| Full Name | Andrea Nicole Thomas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 1000 Eleven South 2e, Columbia, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538152657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2001016022 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | 085001633 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Clare Hospital - Fenton | Fenton, MO | Hospital |
| Red Bud Regional Hospital | Red bud, IL | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ssm Medical Group Inc | 6608776299 | 565 |
| Entity Name | SSM Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20150929002491 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Nicole Thomas, PAC Po Box 955534, Saint Louis, MO 63195-5534 Ph: Not Available | Andrea Nicole Thomas, PAC 1000 Eleven South 2e, Columbia, IL 62236 Ph: (618) 206-6120 |
Mrs. Candace Parker Fleming, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 109 W Legion Ave, Columbia, IL 62236 Phone: 618-281-4325 Fax: 618-208-1313 |
Anna Marie Kujath, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1505 Gedern Dr, Columbia, IL 62236 Phone: 314-686-2692 |
Jared Wayne Schiefer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 |
Mrs. Victoria L Trembly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1019 Valmeyer Rd, Columbia, IL 62236 Phone: 618-205-7170 |
Ms. Andrea Kathryn Stout, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1019 Valmeyer Rd, Columbia, IL 62236 Phone: 618-205-7170 |