Ms Jacque Anne Thomas, CRNP in Hazle Township, PA

Ms Jacque Anne Thomas, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Hazle Township, Pennsylvania. Her current practice location is 529 Hillside Dr, Hazle Township, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 454-3052.

Ms Jacque Anne Thomas is licensed to practice in California (license number 95006858) 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 1851712426.

Contact Information

	Ms Jacque Anne Thomas, CRNP
	529 Hillside Dr, Hazle Township, PA 18202-2858
	(570) 454-3052
	(570) 453-3176

Map and Direction

Provider's Profile

Full Name	Ms Jacque Anne Thomas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	529 Hillside Dr, Hazle Township, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851712426
Provider Enumeration Date: 12/26/2013
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 2961724588
Enrollment ID: I20180413000802

Medical Identifiers

Medical identifiers for Ms Jacque Anne Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851712426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP013099 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	95006858 (California)	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. Ms Jacque Anne Thomas allows following entities to bill medicare on her behalf.

Entity Name	Dignity Health Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709

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. Ms Jacque Anne 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
Ms Jacque Anne Thomas, CRNP 529 Hillside Dr, Hazle Township, PA 18202-2858 Ph: () -	Ms Jacque Anne Thomas, CRNP 529 Hillside Dr, Hazle Township, PA 18202-2858 Ph: (570) 454-3052

Reviews and Comments

Nurse Practitioner Nurses in Hazle Township, PA

Julia Rose Shellhamer, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 N Church St, Hazle Township, PA 18202 Phone: 570-454-9981
Angela Lombardo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1097b N Church St, Hazle Township, PA 18202 Phone: 272-639-5650
Margaret Brown, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 426 Airport Rd, Hazle Township, PA 18202 Phone: 570-459-9730 Fax: 570-459-9736
Eric Sherman, CRNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201a N Church St Ste 103, Hazle Township, PA 18202 Phone: 570-455-8544 Fax: 570-579-1015
Natalie Thorington, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 N Church St Ste 105, Hazle Township, PA 18202 Phone: 570-454-7546 Fax: 215-482-7548
Mr. Lennie Romero, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1090 N Church St, Hazle Township, PA 18202 Phone: 570-459-1485 Fax: 570-459-6354
Tracey Marie Dixon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Park Pl, Hazle Township, PA 18202 Phone: 570-454-1400 Fax: 570-454-2144

Ms Jacque Anne Thomas, CRNP - Medicare Nurse Practitioner in Hazle Township, PA