| Jacqueline Claire Thomas, | |
|
19283 Highway 59, Summerdale, AL 36580-3005 | |
| (251) 523-5437 | |
| Not Available |
| Full Name | Jacqueline Claire Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 19283 Highway 59, Summerdale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366189896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 1-164375 (Alabama) | Primary |
| Entity Name | USA Health Physician Billing Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720645468 PECOS PAC ID: 9931436912 Enrollment ID: O20190814000827 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Claire Thomas, 19283 Highway 59, Summerdale, AL 36580-3005 Ph: Not Available | Jacqueline Claire Thomas, 19283 Highway 59, Summerdale, AL 36580-3005 Ph: (251) 523-5437 |
Shannon Swiderski, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19283 State Highway 59, Summerdale, AL 36580 Phone: 251-523-5437 Fax: 866-628-7517 |
Mary Ann Wooten, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 511 Al-59, Summerdale, AL 36580 Phone: 251-989-9400 |
Ms. Melissa Martin Byrd, CPCP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19283 Highway 59, Summerdale, AL 36580 Phone: 251-523-5437 Fax: 866-628-7517 |