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Thomas R Garrick

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310

PECOS Enrollment

This provider is enrolled in PECOS as THOMAS GARRICK.

Based on the most recent information from CMS, provider Thomas R Garrick is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1134219231
Provider Type
Individual
Full Name
Garrick, Thomas R
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
10/13/2006
Last Updated
11/27/2023

Contact Information

Practice Location

1520 San Pablo St Ste 1652, Los Angeles, CA 90033-5310

(323) 442-6000

Unlisted Fax

Mailing Location

PO Box 31309, Los Angeles, CA 90031-0309

(323) 442-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License G44849 California

Thomas R Garrick

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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