Thomas B Frey, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051864 Issued in PA

Practice address

431 W Lincoln Ave
Myerstown, PA 17067-2328

Phone

(717) 866-5755

Fax

(717) 866-7120

NPI assigned

Mar 30, 2006

Last updated

Jan 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tfrey@mfp.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Myerstown Family Practice PC

  • Family Medicine Physician
  • Myerstown, PA
  • NPI 1548311608
  Medicare reassignment
• Lebanon Emergency Physicians PC

  • Specialist
  • Lebanon, PA
  • NPI 1508907262
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1639130503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 W LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672328",
            "telephone_number": "717-866-5755",
            "fax_number": "717-866-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LINCOLN AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672328",
            "telephone_number": "717-866-5755",
            "fax_number": "717-866-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50121162",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50054853",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00652648",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Marie Day
• Eastern Lebanon County School District
• Robert Eugene England Jr., PA
• Danae Noel Fanjoy, LPC
• Cynthia Fay Flanagan, DMD
• Melissa Gavern, M.ED., BSL
• Good Samaritan Physician Services (WellSpan Family Medicine - ELCO)
• Michael Lee Haight, DC
• Kelsey Harnish, OD
• Julie A Header, D.O.

• Physician Assistant in Myerstown, PA
• Providers in Myerstown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.