| Holly Thomas, PMHNP | |
|
1225 Aguilar Dr, Montgomery City, MO 63361-2723 | |
| (573) 582-1234 | |
| (573) 582-1212 |
| Full Name | Holly Thomas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 1225 Aguilar Dr, Montgomery City, Missouri |
| 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 |
|---|---|---|---|
| 1447087432 | NPI | - | NPPES |
| 420149003 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2024036138 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerpointe Hospital Of Columbia Llc | 0446502652 | 11 |
| Entity Name | Compass Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
| Entity Name | Centerpointe Hospital Of Columbia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760973044 PECOS PAC ID: 0446502652 Enrollment ID: O20190607000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Thomas, PMHNP 504 Meadow Crest Ln, Montgomery City, MO 63361-1600 Ph: (636) 359-5823 | Holly Thomas, PMHNP 1225 Aguilar Dr, Montgomery City, MO 63361-2723 Ph: (573) 582-1234 |
Kristina Boylan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Pickering St, Montgomery City, MO 63361 Phone: 573-564-2101 Fax: 573-564-2130 | |
Mary Ellen Shanks, APRN,BC,FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 N Sturgeon St, Montgomery City, MO 63361 Phone: 573-564-2990 Fax: 573-564-2963 | |
Londa Y Swoboda, FNP, BSN, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 E 1st St, Montgomery City, MO 63361 Phone: 573-564-3214 Fax: 573-564-3216 | |
Mrs. Diana L Gibbs, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Salisbury St, Montgomery City, MO 63361 Phone: 573-564-2495 Fax: 573-564-5059 |