MR. THOMAS CARMINE VINCENT MARINO PA-C
NPI 1902636608
Physician Assistant in Glendale, AZ

Q: What is Thomas Marino's NPI number?

The NPI number for Thomas Marino is 1902636608. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Thomas Marino'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 Thomas Marino was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 August 06, 2024PECOS EnrolledAccepts Medicare Assignment

19555 N 59TH AVE, GLENDALE, AZ 85308(623) 572-3200 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Thomas Carmine Vincent Marino Pa-c NPPES

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

MR. THOMAS CARMINE VINCENT MARINO PA-C (NPI 1902636608) is an individual physician assistant in Glendale, Arizona, licensed in Arizona (10348) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1902636608

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. THOMAS CARMINE VINCENT MARINOCredential: PA-C

Location Address19555 N 59TH AVEGlendale, AZ 85308-6813

Mailing Address2725 E Mine Creek Rd Unit 1241Phoenix, AZ 85024-6271 · (602) 291-7331

Phone(623) 572-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 6, 2024

NPPES CertifiedMarch 9, 2024

✔ NPI 1902636608 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 AZ · 10348

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.

19555 N 59TH AVE, Glendale, AZ 85308

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Thomas Carmine Vincent Marino Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527549476

PECOS Enrollment IDI20260227002745

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 85308 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

ANDREW WOOD

Student in an Organized Health Care Education/Training Program