Miss Dallas Michelle Thomason, PA-C - Medicare Physician Assistant in Vicksburg, MS

Miss Dallas Michelle Thomason, PA-C is a medicare enrolled "Physician Assistant" in Vicksburg, Mississippi. Her current practice location is 1907 Mission 66, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 636-1173.

Miss Dallas Michelle Thomason is licensed to practice in Mississippi (license number PA00142) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225361702.

Contact Information

Miss Dallas Michelle Thomason, PA-C
1907 Mission 66,
Vicksburg, MS 39180-3711
(601) 636-1173
(601) 638-8287

Map and Direction




Provider's Profile

Full NameMiss Dallas Michelle Thomason
GenderFemale
SpecialityPhysician Assistant
Location1907 Mission 66, Vicksburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225361702
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 03/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2365577111
  • Enrollment ID: I20100318000022

Medical Identifiers

Medical identifiers for Miss Dallas Michelle Thomason such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225361702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA00142 (Mississippi)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. Miss Dallas Michelle Thomason 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 AddressPractice Location Address
Miss Dallas Michelle Thomason, PA-C
1907 Mission 66,
Vicksburg, MS 39180-3711

Ph: (601) 636-1173
Miss Dallas Michelle Thomason, PA-C
1907 Mission 66,
Vicksburg, MS 39180-3711

Ph: (601) 636-1173

Reviews and Comments


Physician Assistant Nurses in Vicksburg, MS

Leslie Erin Davis, PA
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Larry Daily, PA
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Mrs. Vanessa Leanne Perniciaro, PA
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Medicare: Medicare Enrolled
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.