Kayla Thomas, DO - Medicare Student in an Organized Health Care Education/Training Program in Peoria, IL

Kayla Thomas, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 655-4940.

Kayla Thomas is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1235717448.

Contact Information

Kayla Thomas, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
(309) 655-4940
Not Available



Physician's Profile

Full NameKayla Thomas
GenderFemale
SpecialityStudent In An Organized Health Care Education/training Program
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235717448
  • Provider Enumeration Date: 03/30/2021
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062818032
  • Enrollment ID: I20210831002267

Medical Identifiers

Medical identifiers for Kayla Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235717448NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 336.125061 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Kayla 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 AddressPractice Location Address
Kayla Thomas, DO
10451 Redwood Dr,
Saint John, IN 46373-8784

Ph: (219) 718-0542
Kayla Thomas, DO
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001

Ph: (309) 655-4940

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