Thomas William Ansell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Davis, West Virginia. His current practice location is
180 E Portal Road, Davis, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 259-4970.
Thomas William Ansell is licensed to practice in West Virginia (license number 114384) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871231902.
Provider's Profile
| Full Name | Thomas William Ansell |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 180 E Portal Road, Davis, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871231902
- Provider Enumeration Date: 05/27/2022
- Last Update Date: 03/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 6204206790
- Enrollment ID: I20221227001485
Medical Identifiers
Medical identifiers for Thomas William Ansell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871231902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 532231 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 114384 (West Virginia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | SP025795 (Pennsylvania) | Secondary |
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. Thomas William Ansell allows following entities to bill medicare on his behalf.
| Entity Name | Matrix Medical Network of West |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942569033
PECOS PAC ID: 0244598621
Enrollment ID: O20171212001076 |
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| Entity Name | Matrix Medical Plus |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376973461
PECOS PAC ID: 2365668720
Enrollment ID: O20230420002891 |
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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. Thomas William Ansell 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 |
|---|
Thomas William Ansell, FNP
200 Cliff Mine Road, Suite 500,
Pittsburgh, PA 15275
Ph: (878) 201-3312 | Thomas William Ansell, FNP
180 E Portal Road,
Davis, WV 26260
Ph: (304) 259-4970 |
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