Thomas L Shoup, PAC in Tifton, GA - Medicare Physician Assistant

Thomas L Shoup, PAC is a medicare enrolled "Physician Assistant" in Tifton, Georgia. His current practice location is 901 18th St E, Tifton, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 353-6051.

Thomas L Shoup is licensed to practice in Georgia (license number 1319) 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 1053420620.

Contact Information

	Thomas L Shoup, PAC
	901 18th St E, Tifton, GA 31794-3648
	(229) 353-6051
	Not Available

Provider's Profile

Full Name	Thomas L Shoup
Gender	Male
Speciality	Physician Assistant
Location	901 18th St E, Tifton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053420620
Provider Enumeration Date: 08/29/2006
Last Update Date: 12/01/2020

Medicare PECOS Information:

PECOS PAC ID: 0345326864
Enrollment ID: I20080325000262

Medical Identifiers

Medical identifiers for Thomas L Shoup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053420620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1319 (Georgia)	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. Thomas L Shoup 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
Thomas L Shoup, PAC 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 353-6051	Thomas L Shoup, PAC 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 353-6051

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Physician Assistant Nurses in Tifton, GA

Kathryn H. Perri, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2225 Us Highway 41 N, Tifton, GA 31794 Phone: 229-391-4100
Summer Grace Stephenson, Physician Assistant Medicare: Medicare Enrolled Practice Location: 41 Mount Olive Church Rd, Tifton, GA 31794 Phone: 229-326-2610
Georgia Griffis, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 907 18th St E, Tifton, GA 31794 Phone: 229-391-3320
Miss Shaina Linell Mcgordon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120
Mr. Robert Jay Muterspaugh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 18th St E, Tifton, GA 31794 Phone: 229-386-9333 Fax: 229-386-1666
Bradley T Holt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-2284

Thomas L Shoup, PAC - Medicare Physician Assistant in Tifton, GA