| Michael Ryan Thomas, | |
|
912 S Pecan St, Vivian, LA 71082-3350 | |
| (318) 375-2203 | |
| Not Available |
| Full Name | Michael Ryan Thomas |
|---|---|
| Gender | |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 912 S Pecan St, Vivian, Louisiana |
| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982592192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 242109 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Curana Health Of Louisiana Llc | 4880731355 | 140 |
| Entity Name | Curana Health of Louisiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538399704 PECOS PAC ID: 4880731355 Enrollment ID: O20091103000048 |
| Entity Name | CH Mssp Services La LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982285060 PECOS PAC ID: 6901206416 Enrollment ID: O20210621000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Ryan Thomas, 9006 Sundance Ln, Shreveport, LA 71106-7788 Ph: (318) 990-9932 | Michael Ryan Thomas, 912 S Pecan St, Vivian, LA 71082-3350 Ph: (318) 375-2203 |
Steven L Mcrae, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9095 Hosston Vivian Rd, Vivian, LA 71082 Phone: 318-465-7368 |
Kristen M. Hill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-5967 |
Kayci Dial Wilson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 S Pine St, Vivian, LA 71082 Phone: 318-375-3239 Fax: 318-375-2755 |