| Sean R Thomas Md, Inc | |
|
6186 Adobe Rd Twentynine Palms CA 92277-2652 | |
| (760) 361-8525 | |
| (760) 361-8528 |
| Full Name | Sean R Thomas Md, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6186 Adobe Rd, Twentynine Palms, California |
| Authorized Official Name and Position | Januarie Bautista (CONTRACTS DIRECTOR) |
| Authorized Official Contact | 7602283366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean R Thomas Md, Inc 55585 29 Palms Hwy Yucca Valley CA 92284-2505 Ph: (760) 228-3366 | Sean R Thomas Md, Inc 6186 Adobe Rd Twentynine Palms CA 92277-2652 Ph: (760) 361-8525 |
| NPI Number | 1154336246 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 02/26/2015 |
| Medicare PECOS PAC ID | 6002899945 |
|---|---|
| Medicare Enrollment ID | O20040610001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154336246 | NPI | - | NPPES |
| RHM53885G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Robert E. Bush Naval Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Magtftc Mcagcc Box 788250, Naval Hospital Attn Professional Affairs, Twentynine Palms, CA 92278 Phone: 760-830-2417 | |
Yucca Valley Family Medical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6380 Split Rock Ave, Twentynine Palms, CA 92277 Phone: 760-367-6028 Fax: 760-367-2178 |