Laceyanne Thomas, is a medicare enrolled "Family Medicine" in Astoria, New York. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
2638 28th St, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 509-9345.
Laceyanne Thomas is licensed to practice in New York (license number F356932-01) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1124814249.
Provider's Profile
| Full Name | Laceyanne Thomas |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 2638 28th St, Astoria, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Laceyanne Thomas graduated from nursing school in 2025
NPI Data:
- NPI Number: 1124814249
- Provider Enumeration Date: 04/16/2025
- Last Update Date: 07/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810476173
- Enrollment ID: I20260206001695
Medical Identifiers
Medical identifiers for Laceyanne Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124814249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 754614 (New York) | Secondary |
| 207Q00000X | Family Medicine | F356932-01 (New York) | 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. Laceyanne Thomas allows following entities to bill medicare on her behalf.
| Entity Name | Medical Director Services PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20160621000218 |
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| Entity Name | Jds Medical Services PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174224653
PECOS PAC ID: 2062948748
Enrollment ID: O20260114002266 |
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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. Laceyanne 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 |
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Laceyanne Thomas,
65 Belknap Ave,
Yonkers, NY 10710-5403
Ph: Not Available | Laceyanne Thomas,
2638 28th St,
Astoria, NY 11102-2044
Ph: (718) 509-9345 |
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