Dr Gregory M Thompson, MD | |
255 W Lancaster Ave, Pmob Iii, Suite 333, Paoli, PA 19301-1763 | |
(610) 644-9600 | |
(610) 644-0804 |
Full Name | Dr Gregory M Thompson |
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Gender | Male |
Speciality | Urology |
Location | 255 W Lancaster Ave, Paoli, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063410702 | NPI | - | NPPES |
557113 | Other | PA | HIGHMARK BS |
03752592000 | Other | PA | IBC |
0011574150003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD04339E (Pennsylvania) | Primary |
Entity Name | Urology Health Surgery Center, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1306043617 PECOS PAC ID: 3375635063 Enrollment ID: O20070827000252 |
Entity Name | Centers For Advanced Urology, Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811351083 PECOS PAC ID: 3274800941 Enrollment ID: O20170531000529 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory M Thompson, MD 140 W Germantown Pike, Ste 250, Plymouth Meeting, PA 19462-1421 Ph: (484) 530-0205 | Dr Gregory M Thompson, MD 255 W Lancaster Ave, Pmob Iii, Suite 333, Paoli, PA 19301-1763 Ph: (610) 644-9600 |
Jose Ethan Pulido, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 Phone: 610-647-3660 Fax: 610-644-2165 | |
James Richard Bollinger, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 209 W Lancaster Ave, Suite 200, Paoli, PA 19301 Phone: 610-296-0810 Fax: 610-296-4968 | |
Dr. Joseph A Graversen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 209 W Lancaster Ave, Suite 200, Paoli, PA 19301 Phone: 610-525-2515 |