| Ms Tresarae Shawn Thomas, PAC | |
|
2505 Us Highway 431, Boaz, AL 35957 | |
| (256) 593-8310 | |
| Not Available |
| Full Name | Ms Tresarae Shawn Thomas |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2505 Us Highway 431, Boaz, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508840828 | NPI | - | NPPES |
| 009933282 | Medicaid | AL | |
| PA-430 | Other | AL | ALABAMA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-430 (Alabama) | Primary |
| Entity Name | Marshall Medical Center South |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639321789 PECOS PAC ID: 1153483797 Enrollment ID: O20081216000593 |
| Entity Name | App of Alabama Ed PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659646040 PECOS PAC ID: 3577725068 Enrollment ID: O20120430000174 |
| Entity Name | Alabama Emergency Physician Partners, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891031894 PECOS PAC ID: 4082868641 Enrollment ID: O20130206000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tresarae Shawn Thomas, PAC 2570 Turnpike Rd, Albertville, AL 35950-0501 Ph: (256) 572-3271 | Ms Tresarae Shawn Thomas, PAC 2505 Us Highway 431, Boaz, AL 35957 Ph: (256) 593-8310 |
Traci Renee Billingsley, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2505 Us Highway 431, Boaz, AL 35957 Phone: 256-393-3388 |