Laira Lue Thomas, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fairfield, Idaho. She graduated from nursing school in 1996 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Clinic - Wood River Llc and her current practice location is
401 W Camas Ave, Fairfield, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 764-2611.
Laira Lue Thomas is licensed to practice in Idaho (license number NP-327A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629036264.
Provider's Profile
| Full Name | Laira Lue Thomas |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 29 Years |
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| Location | 401 W Camas Ave, Fairfield, Idaho |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Laira Lue Thomas graduated from nursing school in 1996
NPI Data:
- NPI Number: 1629036264
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 11/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 9830165596
- Enrollment ID: I20040903000918
Medical Identifiers
Medical identifiers for Laira Lue Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629036264 | NPI | - | NPPES |
| 805065000 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | NP-327A (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Lukes Clinic - Wood River Llc | 3173783818 | 58 |
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. Laira Lue Thomas allows following entities to bill medicare on her behalf.
| Entity Name | St Lukes Clinic - Wood River Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972891604
PECOS PAC ID: 3173783818
Enrollment ID: O20120404000474 |
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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. Laira Lue 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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Laira Lue Thomas, FNP
794 Eastland Dr,
Twin Falls, ID 83301-6856
Ph: (208) 734-3312 | Laira Lue Thomas, FNP
401 W Camas Ave,
Fairfield, ID 83327
Ph: (208) 764-2611 |
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