Melinda Thomas, PAC
Individual provider Active NPI Medical Physician Assistant · Darlington, WI
NPI 1528053444 · NPPES record last updated Feb 14, 2020
Key facts
- NPI
- 1528053444
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 1185-023 (WI)
- Practice address
- 731 Clay St
Darlington, WI 53530-1225 - Phone
- (608) 776-4497
- Fax
- (608) 776-2317
- NPI assigned
- Sep 16, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lafayette County
Practice addresses (Care Compare)
211 Bev Anderson Dr
Darlington, WI 53530-8801
Phone (608) 776-4466
Hospital & facility affiliations
- Agrace Hospicecare
- Lafayette Hospital and Clinics
- Upland Hills Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000223 | WI | Practitioner - Physician Assistant | 4486834967 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1185-023 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette County | Current |
Accepting new patients | |
| Upland Hills Health, Inc | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Upland Hills Health, Inc | Current |
Accepting new patients | |
| Lafayette County | Past | Accepting new patients | |
| Lafayette County | Past | Accepting new patients | |
| Lafayette County | Past | Accepting new patients |
Locations
211 Bev Anderson Dr
Darlington, WI 53530
Phone (608) 776-4466
731 Clay St
Darlington, WI 53530
Phone (608) 776-4497
800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200
Interoperability endpoints
- mthomas647728@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1185-023 | WI | Yes |
Addresses
Primary practice location
731 Clay St
Darlington, WI 53530-1225
Mailing address
731 Clay St
Darlington, WI 53530-1225
Phone (608) 776-4497
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42991500 | Medicaid | WI |
Other names
- Melinda Phillips
Other providers in Darlington, WI
- Kelsey Stoflet
- William Thomas Stoneking
- Daniel M. Stormont
- Emily Stormont
- Lucas Adam Suthers
- Amy Thompson
- Amy L. Tibbits
- Gregory Jacob Tulachka
- Darci Ann Weber
- Kailee M Whalen
All providers in Darlington, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.