Laceyanne Thomas, is a
Family Medicine based in Astoria, New York. Laceyanne Thomas is licensed to practice in New York (license number F356932-01) and her current practice location is
2638 28th St, Astoria, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 509-9345.
NPI number for Laceyanne Thomas is 1124814249 and her current mailing address is 65 Belknap Ave, Yonkers, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124814249.
Provider's Profile
Full Name | Laceyanne Thomas |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 2638 28th St, Astoria, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124814249
- Provider Enumeration Date: 04/16/2025
- Last Update Date: 07/25/2025
Medical Identifiers
Medical identifiers for Laceyanne Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124814249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 754614 (New York) | Secondary |
207Q00000X | Family Medicine | F356932-01 (New York) | Primary |
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. Laceyanne Thomas is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Laceyanne Thomas, 65 Belknap Ave, Yonkers, NY 10710-5403 Ph: () - | Laceyanne Thomas, 2638 28th St, Astoria, NY 11102-2044 Ph: (718) 509-9345 |
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