Jacqueline Claire Thomas, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Summerdale, Alabama. Her current practice location is
19283 Highway 59, Summerdale, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 523-5437.
Jacqueline Claire Thomas is licensed to practice in Alabama (license number 1-164375) 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 1366189896.
Provider's Profile
| Full Name | Jacqueline Claire Thomas |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 19283 Highway 59, Summerdale, Alabama |
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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: 1366189896
- Provider Enumeration Date: 05/17/2022
- Last Update Date: 08/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335515170
- Enrollment ID: I20221019000106
Medical Identifiers
Medical identifiers for Jacqueline Claire Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366189896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0200X | Nurse Practitioner - Pediatrics | 1-164375 (Alabama) | 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. Jacqueline Claire Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Usa Health Physician Billing Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
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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. Jacqueline Claire 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 |
Jacqueline Claire Thomas, 19283 Highway 59, Summerdale, AL 36580-3005 Ph: () - | Jacqueline Claire Thomas, 19283 Highway 59, Summerdale, AL 36580-3005 Ph: (251) 523-5437 |
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