Look up the most recent NPI and PECOS records

Mary Lizzie Thomas

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as MARY THOMAS.

Based on the most recent information from CMS, provider Mary Lizzie Thomas is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1215556253
Provider Type
Individual
Full Name
Thomas, Mary Lizzie
Credential
MD, MPH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/9/2020
Last Updated
4/30/2025

Contact Information

Practice Location

20 York St, New Haven, CT 06510-3220

(203) 688-4242

Unlisted Fax

Mailing Location

PO Box 208028, New Haven, CT 06520-8028

(203) 737-8866

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 73730 Tennessee
Code 207RG0300X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 73730 Tennessee
Code 207RH0002X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 73730 Tennessee
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Mary Lizzie Thomas

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

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