Lisa Thompson, PA-C is a medicare enrolled "Physician Assistant" physician in Cottonwood, Arizona. Her current practice location is
340 S Willard St, Cottonwood, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 634-5551.
Lisa Thompson is licensed to practice in Arizona (license number 8252) 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 1912463936.
Physician's Profile
Full Name | Lisa Thompson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 340 S Willard St, Cottonwood, Arizona |
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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: 1912463936
- Provider Enumeration Date: 02/14/2019
- Last Update Date: 10/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143632547
- Enrollment ID: I20201208002978
Medical Identifiers
Medical identifiers for Lisa Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912463936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 8252 (Arizona) | Secondary |
363A00000X | Physician Assistant | 8252 (Arizona) | Primary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 8252 (Arizona) | Secondary |
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. Lisa 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 |
Lisa Thompson, PA-C 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235 | Lisa Thompson, PA-C 340 S Willard St, Cottonwood, AZ 86326-4126 Ph: (928) 634-5551 |
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