| Samuel Thomas, | |
|
339 Squire Rd Ste 130-134, Revere, MA 02151-4396 | |
| (781) 629-4897 | |
| Not Available |
| Full Name | Samuel Thomas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 339 Squire Rd Ste 130-134, Revere, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396592119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA100925 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nvr And Sdd Convenient Care Pc | 8921540774 | 5 |
| Alm Medical Llc | 9436659927 | 7 |
| Entity Name | Nvr & Sdd Convenient Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528825031 PECOS PAC ID: 8921540774 Enrollment ID: O20240607001061 |
| Entity Name | Alm Medical LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245044700 PECOS PAC ID: 9436659927 Enrollment ID: O20250820002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Thomas, 339 Squire Rd Ste 130-134, Revere, MA 02151-4396 Ph: Not Available | Samuel Thomas, 339 Squire Rd Ste 130-134, Revere, MA 02151-4396 Ph: (781) 629-4897 |
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