Miranda Thompson, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Davidson, North Carolina. Her current practice location is
460 S Main St # 302, Davidson, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 255-6383.
Miranda Thompson is licensed to practice in North Carolina (license number P22890) 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 1518722503.
Physician's Profile
Full Name | Miranda Thompson |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 460 S Main St # 302, Davidson, North Carolina |
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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: 1518722503
- Provider Enumeration Date: 02/19/2024
- Last Update Date: 02/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587003637
- Enrollment ID: I20240422003022
Medical Identifiers
Medical identifiers for Miranda Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518722503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | P22890 (North Carolina) | 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. Miranda Thompson allows following entities to bill medicare on her behalf.
Entity Name | Physiofit Physical Therapy And Sports Performance Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Entity Identifiers | NPI Number: 1215668751 PECOS PAC ID: 5698142776 Enrollment ID: O20221102001033 |
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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. Miranda 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 |
Miranda Thompson, 20301 Wilcher Ct, Cornelius, NC 28031-6844 Ph: () - | Miranda Thompson, 460 S Main St # 302, Davidson, NC 28036-8006 Ph: (704) 255-6383 |
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