Dr Terry Dean Thompson, DC, CCSP is a
Chiropractor - Sports Physician based in Palestine, Illinois. Dr Terry Dean Thompson is licensed to practice in Illinois (license number 038.004727) and his current practice location is
117 S Main St, Palestine, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 586-5454.
NPI number for Dr Terry Dean Thompson is 1205804499 and his current mailing address is 117 S Main St, Palestine, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205804499.
Healthcare Provider's Profile
| Full Name | Dr Terry Dean Thompson |
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| Gender | Male |
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| Speciality | Chiropractor - Sports Physician |
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| Location | 117 S Main St, Palestine, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205804499
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 01/10/2009
Medical Identifiers
Medical identifiers for Dr Terry Dean Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205804499 | NPI | - | NPPES |
| 038004727 | Medicaid | IL | |
| 371140723 | Other | IL | FEIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 038-004727 (Illinois) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 038.004727 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Terry Dean Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Terry Dean Thompson, DC, CCSP
117 S Main St,
Palestine, IL 62451-1265
Ph: (618) 586-5454 | Dr Terry Dean Thompson, DC, CCSP
117 S Main St,
Palestine, IL 62451-1265
Ph: (618) 586-5454 |
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