Wycondaroga E Thomas, is a medicare enrolled "Nurse Practitioner - Family" in Gunnison, Mississippi. Her current practice location is
820 Ashland Avenue, Gunnison, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 987-5023.
Wycondaroga E Thomas is licensed to practice in Mississippi (license number 890243) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184091894.
Provider's Profile
| Full Name | Wycondaroga E Thomas |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 820 Ashland Avenue, Gunnison, Mississippi |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wycondaroga E Thomas attended and graduated from in
NPI Data:
- NPI Number: 1184091894
- Provider Enumeration Date: 08/28/2015
- Last Update Date: 06/16/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Wycondaroga E Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184091894 | NPI | - | NPPES |
| 04784050 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R892043 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 35217 (Tennessee) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 890243 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 890243 (Mississippi) | Primary |
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. Wycondaroga E 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 |
|---|
Wycondaroga E Thomas,
Po Box 357,
Gunnison, MS 38746-0357
Ph: (662) 987-5023 | Wycondaroga E Thomas,
820 Ashland Avenue,
Gunnison, MS 38746
Ph: (662) 987-5023 |
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