Destin Thomas, PMHNP | |
154 Medical Park Loop, Sylva, NC 28779-5271 | |
(828) 307-0900 | |
(866) 340-6013 |
Full Name | Destin Thomas |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 154 Medical Park Loop, Sylva, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407476336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 201805 (Louisiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5017612 (North Carolina) | Primary |
Entity Name | Ncg Acquisition, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578091161 PECOS PAC ID: 1850657446 Enrollment ID: O20171115000959 |
Mailing Address | Practice Location Address |
---|---|
Destin Thomas, PMHNP 141 Sims Cir, Waynesville, NC 28786-3035 Ph: () - | Destin Thomas, PMHNP 154 Medical Park Loop, Sylva, NC 28779-5271 Ph: (828) 307-0900 |
Adam Heath Barker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 Fisher Creek Rd, Sylva, NC 28779 Phone: 828-477-4399 | |
Mrs. Vashti Colvin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 186 Medical Park Loop, Sylva, NC 28779 Phone: 828-212-7026 Fax: 828-477-4027 | |
Coral Dawn Wiggins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 538 Scotts Creek Rd, Sylva, NC 28779 Phone: 828-586-8994 Fax: 828-587-8295 | |
Ms. Alida Suzanne Herrera, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 Bonnie Ln, Sylva, NC 28779 Phone: 828-631-3973 | |
Amy Krutsch, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 538 Scotts Creek Rd Ste 100, Sylva, NC 28779 Phone: 828-586-8994 Fax: 828-586-3493 | |
Ricardo Jose Perea, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 Westcare Dr, Suite 302, Sylva, NC 28779 Phone: 828-586-9200 | |
Korey Popplewell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 68 Hospital Rd, Sylva, NC 28779 Phone: 828-586-7000 |