Dr Jeffrey Thompson, MD is a medicare enrolled "Emergency Medicine" physician in Sturgeon Bay, Wisconsin. His current practice location is
323 S 18th Ave, Sturgeon Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 743-5566.
Dr Jeffrey Thompson is licensed to practice in Indiana (license number 01039741A) 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 1457317430.
Physician's Profile
| Full Name | Dr Jeffrey Thompson |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 323 S 18th Ave, Sturgeon Bay, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457317430
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 4688840812
- Enrollment ID: I20120110000288
Medical Identifiers
Medical identifiers for Dr Jeffrey Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457317430 | NPI | - | NPPES |
| 100387910 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 01039741A (Indiana) | 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. Dr Jeffrey Thompson allows following entities to bill medicare on his behalf.
| Entity Name | App Of Indiana Ed, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740822212
PECOS PAC ID: 2961835400
Enrollment ID: O20191213001639 |
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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 Jeffrey 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 |
|---|
Dr Jeffrey Thompson, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 746-5566 | Dr Jeffrey Thompson, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
Ph: (920) 743-5566 |
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