MS. TRESARAE SHAWN THOMAS P.A.C
NPI 1508840828
Physician Assistant in Boaz, AL

Q: What is Tresarae Thomas's NPI number?

The NPI number for Tresarae Thomas is 1508840828. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Tresarae Pate Lane P.A.C.

Q: What is Tresarae Thomas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tresarae Thomas was last updated on September 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 30, 2005PECOS Enrolled

2505 US HIGHWAY 431, BOAZ, AL 35957(256) 593-8310 Get Directions Write a Review

NPPES record last updated: September 25, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Tresarae Shawn Thomas P.a.c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRESARAE SHAWN THOMAS P.A.C (NPI 1508840828) is an individual physician assistant in Boaz, Alabama, licensed in Alabama (PA-430) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508840828

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. TRESARAE SHAWN THOMASCredential: P.A.C

Location Address2505 US HIGHWAY 431Boaz, AL 35957

Mailing Address2570 Turnpike RdAlbertville, AL 35950-0501 · (256) 572-3271

Phone(256) 593-8310

Sole ProprietorNo

Enumeration DateNovember 30, 2005

Last NPPES UpdateSeptember 25, 2013

✔ NPI 1508840828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AL · PA-430

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2505 US HIGHWAY 431, Boaz, AL 35957

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Other Names 1

Former Name (1)Tresarae Pate Lane P.a.c

Other Identifiers 4

Medicare PIN051556838PATAL

OtherPA-430AL · Alabama State License

Medicare UPINQ54065AL

Medicaid009933282AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tresarae Shawn Thomas P.a.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35957 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA ASHLEY ALLEN CRNP

Nurse Practitioner (Family)