Provider Demographics
NPI:1790870384
Name:FRANCISCO THOMAS, PATRICIA LYN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:LYN
Last Name:FRANCISCO THOMAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 GRAND AVE
Mailing Address - Street 2:STE 6
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6258
Mailing Address - Country:US
Mailing Address - Phone:406-839-2985
Mailing Address - Fax:406-839-2986
Practice Address - Street 1:1732 S 72ND ST W
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-3538
Practice Address - Country:US
Practice Address - Phone:406-655-2100
Practice Address - Fax:406-651-2783
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT511364SP0808X, 363A00000X
WY414363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE970022922OtherRAILROAD MEDICARE
MT000900593OtherBCBS PIN
MF0658813OtherDEA
NE970022922OtherRAILROAD MEDICARE
NEP22529Medicare UPIN
MT011001151Medicare PIN
MTP00456662Medicare PIN
MT1153260003Medicare PIN
MT000900593OtherBCBS PIN