Dr David T Thom, DPM in Rockford, IL - Medicare Podiatrist Provider

Dr David T Thom, DPM is a medicare enrolled "Podiatrist" provider in Rockford, Illinois. His current practice location is 5875 E Riverside Blvd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 398-9491.

Dr David T Thom is licensed to practice in Illinois (license number 016006060) 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 1902484405.

Contact Information

	Dr David T Thom, DPM
	5875 E Riverside Blvd, Rockford, IL 61114-4937
	(815) 398-9491
	(815) 381-7498

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David T Thom
Gender	Male
Speciality	Podiatrist
Location	5875 E Riverside Blvd, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902484405
Provider Enumeration Date: 03/29/2021
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 1153864749
Enrollment ID: I20240624004388

Medical Identifiers

Medical identifiers for Dr David T Thom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902484405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	016006060 (Illinois)	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. Dr David T Thom allows following entities to bill medicare on his behalf.

Provider Name	Orthomidwest, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1730136474 PECOS PAC ID: 0749183713 Enrollment ID: O20040128000533

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. Dr David T Thom 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
Dr David T Thom, DPM 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491	Dr David T Thom, DPM 5875 E Riverside Blvd, Rockford, IL 61114-4937 Ph: (815) 398-9491

Reviews and Comments

Podiatrist in Rockford, IL

Dr. Douglas Joseph Pacaccio, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498
William J Bush, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498
Dr. Mary White Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 6451 E Riverside Blvd, Ste 104, Rockford, IL 61114 Phone: 815-282-4000
Dr. Donald C Bisby, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491
Footsteps Of Illinois, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 6999 Redansa Dr Ste 5a, Rockford, IL 61108 Phone: 815-229-1008
Dr. Paul A Galluzzo, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6999 Redansa Drive, Rockford, IL 61108 Phone: 815-229-1008 Fax: 815-229-1654
Thomas A Runne Dpm Ltd Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S Bell School Rd Ste 2, Rockford, IL 61108 Phone: 815-284-2023

Dr David T Thom, DPM - Medicare Podiatrist in Rockford, IL