Miss Dallas Michelle Thomason, PA-C - Medicare Physician Assistant in Vicksburg, MS

Miss Dallas Michelle Thomason, PA-C is a medicare enrolled "Physician Assistant" in Vicksburg, Mississippi. Her current practice location is 1907 Mission 66, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 636-1173.

Miss Dallas Michelle Thomason is licensed to practice in Mississippi (license number PA00142) 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 1225361702.

Contact Information

Miss Dallas Michelle Thomason, PA-C
1907 Mission 66,
Vicksburg, MS 39180-3711
(601) 636-1173
(601) 638-8287



Provider's Profile

Full NameMiss Dallas Michelle Thomason
GenderFemale
SpecialityPhysician Assistant
Location1907 Mission 66, Vicksburg, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225361702
  • Provider Enumeration Date: 09/15/2009
  • Last Update Date: 03/25/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2365577111
  • Enrollment ID: I20100318000022

Medical Identifiers

Medical identifiers for Miss Dallas Michelle Thomason such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225361702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA00142 (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. Miss Dallas Michelle Thomason 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
Miss Dallas Michelle Thomason, PA-C
1907 Mission 66,
Vicksburg, MS 39180-3711

Ph: (601) 636-1173
Miss Dallas Michelle Thomason, PA-C
1907 Mission 66,
Vicksburg, MS 39180-3711

Ph: (601) 636-1173

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Physician Assistant Nurses in Vicksburg, MS

Leslie Erin Davis, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Mission Park Dr, Vicksburg, MS 39180
Phone: 601-738-5549    
Baleigh Ford, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2080 S Frontage Rd, #100, Vicksburg, MS 39180
Phone: 601-262-1000    
Miss Laura Lavee Burris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Mrs. Carrie Eure, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5940    
Morgan Joseph Caulfield, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180
Phone: 601-262-1000    
Larry Daily, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    
Mrs. Vanessa Leanne Perniciaro, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183
Phone: 601-883-5000    

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