Ella Thompson, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Salt Lake City, Utah. Her current practice location is
295 S Chipeta Way, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 213-7610.
Ella Thompson is licensed to practice in Utah (license number 12113187-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508531856.
Physician's Profile
Full Name | Ella Thompson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 295 S Chipeta Way, Salt Lake City, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508531856
- Provider Enumeration Date: 08/10/2021
- Last Update Date: 12/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8820489834
- Enrollment ID: I20211230001709
Medical Identifiers
Medical identifiers for Ella Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508531856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 12113187-4405 (Utah) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 12113187-4405 (Utah) | 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. Ella Thompson allows following entities to bill medicare on her behalf.
Entity Name | University Of Utah Pediatric Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
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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. Ella 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 |
Ella Thompson, APRN 2170 S Mcclelland St Apt 416, Salt Lake City, UT 84106-1013 Ph: (603) 667-1284 | Ella Thompson, APRN 295 S Chipeta Way, Salt Lake City, UT 84108-1287 Ph: (801) 213-7610 |
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