Individual ProviderPreston ThomasRadiologyAllopathic & Osteopathic PhysiciansPractice Address1 Hospital Dr # Mc404, Columbia, MO 65212-1000(573) 884-2000PECOS EnrollmentBased on the most recent information from CMS, provider Preston Thomas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083135180Provider TypeIndividualFull NameThomas, PrestonGenderMaleSole ProprietorNoEnumeration Date6/29/2017Last Updated8/12/2019Contact InformationPractice LocationPractice Address1 Hospital Dr # Mc404, Columbia, MO 65212-1000Phone(573) 884-2000Fax(573) 884-2000Mailing LocationMailing Address1 Hospital Dr # Mc404, Columbia, MO 65212-1000Phone(573) 884-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense2017022167MissouriCode208600000XDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense2017022167Missouri