Dallas M Thomason
VICKSBURG CLINIC LLC


Address: 104 Mcauley Dr, Vicksburg, MS 39183-2825
Phone: 6016387271

Dallas M Thomason (NPI# 1225361702, PAC ID# 2365577111) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1225361702
PAC ID by PECOS 2365577111
Professional Enrollment ID I20100318000022
Full Name Dallas M Thomason
Organization Legal Name VICKSBURG CLINIC LLC
Address 104 Mcauley Dr
Vicksburg
MS 39183-2825
Phone Number 6016387271
Gender F
Medical School UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year 2010
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5890696330
Number of Group Practice Members 32
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250031 MERIT HEALTH RIVER REGION
250004 NORTH MISSISSIPPI MEDICAL CENTER

Other Locations

Address Phone Organization
104 Mcauley Dr, Vicksburg, MS 39183-2825 6016387271 VICKSBURG CLINIC LLC
2100 Hwy 61 N, Vicksburg, MS 39183-8211 6018835001 VICKSBURG CLINIC LLC

Organization Information

Organization Legal Name VICKSBURG CLINIC LLC
Physicians 31

Physicians with the same organization

Name Specialty Organization Address
Laura Lavee Burris Physician Assistant Vicksburg Clinic LLC 21 S 4th St B, Merit Health Rr Specialist, Rolling Fork, MS 39159-5146
Carrie Willis Eure Physician Assistant Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Gwendolyn J Stewart Nurse Practitioner Vicksburg Clinic LLC 1907 Mission, Suite 66, Vicksburg, MS 39180-3711
Daniel J Silvio Physician Assistant Vicksburg Clinic LLC 1111 N Frontage Rd, Vmc Adolescent Psy Unit Ip, Vicksburg, MS 39180-5102
Alfred G Windham Otolaryngology Vicksburg Clinic LLC 2200 Hwy 61 N 2100, Vicksburg Street Clinic Pediatrics, Vicksburg, MS 39183-8246
Murray P Whitaker Internal Medicine Vicksburg Clinic LLC 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726
Kerrie Kashaun Sanders Nurse Practitioner Vicksburg Clinic LLC 1 Medical Plaza Dr, Vicksburg, MS 39180-5187
Eugene B Ferris General Surgery Vicksburg Clinic LLC 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726
Joyce Wanjugu Muruthi Obstetrics/gynecology Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Henry M Jarmon General Surgery Vicksburg Clinic LLC 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726

Office Location

Street Address 104 MCAULEY DR
City VICKSBURG
State MS
Zip 39183-2825

Physicians in the same location

Name Specialty Organization Address
Carrie Willis Eure Physician Assistant Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Joyce Wanjugu Muruthi Obstetrics/gynecology Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Kent Ian Kossoy General Surgery Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Feras M Hamadeh Internal Medicine Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Alan Jeffrey Torrey Pain Management Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Thomas L Weeks Obstetrics/gynecology Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Thomas K Sligh Internal Medicine Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825
Arie C Shaw Obstetrics/gynecology Vicksburg Clinic LLC 104 Mcauley Dr, Vicksburg, MS 39183-2825

Physicians in the same zip code

Name Specialty Organization Address
Tabitha Nicole Allen Nurse Practitioner Wound Care Associates LLC 2100 Hwy 61 N, Promise Hosp, Vicksburg, MS 39183
Natasha Yvonneavion West Nurse Practitioner Wound Care Associates LLC 2100 Hwy 61 N, Promise Hosp, Vicksburg, MS 39183
Kelly W Ryder Internal Medicine Vicksburg Healthcare LLC 2100 Hwy 61 N, Vicksburg, MS 39183
Annette Bryant Clinical Social Worker 1107 B Openwood St, Vicksburg, MS 39183-2533
Michelle D Banks Nurse Practitioner 919 Mission, Suite 66, Vicksburg, MS 39183-2751
Mary C Strong Nurse Practitioner Vicksburg Holistic Healthcare LLC 919 Mission, Suite 66, Vicksburg, MS 39183-2751
Elizabeth L Herrington Internal Medicine Jackson Oncology Associates 2368 Grove St, Vicksburg, MS 39183-2857
Sidney A Johnson Jr. Radiation Oncology Vicksburg Clinic LLC 2368 Grove St, Vicksburg, MS 39183-2857
Steven Zachow Radiation Oncology Vicksburg Clinic LLC 2368 Grove St, Vicksburg, MS 39183-2857
Lori C Brent Nurse Practitioner Jackson Oncology Associates 2368 Grove St, Vicksburg, MS 39183-2857
Find all physicians in zip 39183

Competitor

Search similar physicians

City VICKSBURG
Zip Code 39183
Specialty PHYSICIAN ASSISTANT
City + Specialty VICKSBURG + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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