Katie M Thompson, NP is a medicare enrolled "Nurse Practitioner - Critical Care Medicine" physician in Indianapolis, Indiana. Her current practice location is
1701 N Senate Blvd, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 962-0582.
Katie M Thompson is licensed to practice in Indiana (license number 71013316A) 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 1184101792.
Physician's Profile
Full Name | Katie M Thompson |
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Gender | Female |
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Speciality | Nurse Practitioner - Critical Care Medicine |
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Location | 1701 N Senate Blvd, Indianapolis, Indiana |
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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: 1184101792
- Provider Enumeration Date: 07/26/2018
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8022353432
- Enrollment ID: I20230208000100
Medical Identifiers
Medical identifiers for Katie M Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184101792 | NPI | - | NPPES |
300071639 | Medicaid | IN | |
233690176 | Other | IN | MEDICARE |
1101419885 | Other | IN | ANTHEM PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0102X | Surgery - Surgical Critical Care | 71013316A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 5010806 (North Carolina) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 1573 (Colorado) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 71013316A (Indiana) | Secondary |
363LC0200X | Nurse Practitioner - Critical Care Medicine | 71013316A (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. Katie M Thompson allows following entities to bill medicare on her behalf.
Entity Name | University Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316966229 PECOS PAC ID: 9436171949 Enrollment ID: O20051228000112 |
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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. Katie M 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 |
Katie M Thompson, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Katie M Thompson, NP 1701 N Senate Blvd, Indianapolis, IN 46202-1239 Ph: (317) 962-0582 |
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