Sally R Thomas, - Medicare Nurse Practitioner in Jackson, MS

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Sally R Thomas, is a medicare enrolled "Nurse Practitioner" in Jackson, Mississippi. Her current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-6060.

Sally R Thomas is licensed to practice in Mississippi (license number 904076) 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 1487244356.

Contact Information

Sally R Thomas,
969 Lakeland Dr,
Jackson, MS 39216-4606
(601) 200-6060
(601) 200-6767

Map and Direction




Provider's Profile

Full NameSally R Thomas
GenderFemale
SpecialityNurse Practitioner
Location969 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487244356
  • Provider Enumeration Date: 01/24/2021
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062821192
  • Enrollment ID: I20210503000261

Medical Identifiers

Medical identifiers for Sally R Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487244356NPI-NPPES
904076OtherMSNP LICENSE NUMBER
00827761MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 904076 (Mississippi)Secondary
363L00000XNurse Practitioner 904076 (Mississippi)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. Sally R Thomas allows following entities to bill medicare on her behalf.
Entity NameSt. Dominic Jackson Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235173691
PECOS PAC ID: 4385531847
Enrollment ID: O20040301000818
Entity NameRegional Healthcare Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407587363
PECOS PAC ID: 8224412234
Enrollment ID: O20240102001607
Entity NameMobile Wound Care Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548070014
PECOS PAC ID: 0547783730
Enrollment ID: O20250328000898

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. Sally R 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 AddressPractice Location Address
Sally R Thomas,
Po Box 23457,
Jackson, MS 39225-3457

Ph: (601) 200-6060		Sally R Thomas,
969 Lakeland Dr,
Jackson, MS 39216-4606

Ph: (601) 200-6060

Reviews and Comments


Nurse Practitioner Nurses in Jackson, MS

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Susan B Patterson, NP-C
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Phone: 601-984-5500    Fax: 601-984-5503

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.