Donovan Thompson, MD in Charlotte, NC - Medicare Emergency Medicine

Donovan Thompson, MD is a medicare enrolled "Emergency Medicine" physician in Charlotte, North Carolina. His current practice location is 3101 Latrobe Dr, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 376-7362.

Donovan Thompson is licensed to practice in North Carolina (license number 9700780) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982620985.

Contact Information

	Donovan Thompson, MD
	3101 Latrobe Dr, Charlotte, NC 28211-4849
	(704) 376-7362
	Not Available

Map and Direction

Physician's Profile

Full Name	Donovan Thompson
Gender	Male
Speciality	Emergency Medicine
Location	3101 Latrobe Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982620985
Provider Enumeration Date: 07/14/2006
Last Update Date: 03/17/2022

Medicare PECOS Information:

PECOS PAC ID: 3476695081
Enrollment ID: I20100120000509

Medical Identifiers

Medical identifiers for Donovan Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982620985	NPI	-	NPPES
N00780	Medicaid	SC
8910558	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	37576 (Oklahoma)	Secondary
207P00000X	Emergency Medicine	9700780 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Donovan Thompson allows following entities to bill medicare on his behalf.

Entity Name	Carolina Medicorp Enterprises Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760950646 PECOS PAC ID: 0648174904 Enrollment ID: O20040110000190

Entity Name	Emergency Medicine Physicians Of Mecklenburg County Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912232182 PECOS PAC ID: 3870635584 Enrollment ID: O20100119000374

Entity Name	Dispatchhealth Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932714284 PECOS PAC ID: 2961815295 Enrollment ID: O20210106000821

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. Donovan Thompson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Donovan Thompson, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362	Donovan Thompson, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362

Reviews and Comments

Emergency Medicine Doctors in Charlotte, NC

Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171
Michael Stephen Merrill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211 Phone: 704-377-2424 Fax: 704-377-2687
Brian Zachary Hedges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd., Cmc/department Of Emergency Medicine, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047

Donovan Thompson, MD - Medicare Emergency Medicine in Charlotte, NC