Charles Evans Thompson Jr, FNP-C in Lagrange, GA

Charles Evans Thompson Jr, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lagrange, Georgia. His current practice location is 105 Beaver Run, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 443-4278.

Charles Evans Thompson Jr is licensed to practice in Georgia (license number RN289843) 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 1114786175.

Contact Information

	Charles Evans Thompson Jr, FNP-C
	105 Beaver Run, Lagrange, GA 30241-1519
	(706) 443-4278
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Evans Thompson Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	105 Beaver Run, Lagrange, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114786175
Provider Enumeration Date: 03/13/2024
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6204278435
Enrollment ID: I20240520002877

Medical Identifiers

Medical identifiers for Charles Evans Thompson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114786175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN289843 (Georgia)	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. Charles Evans Thompson Jr allows following entities to bill medicare on his behalf.

Entity Name	Urgencare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598223844 PECOS PAC ID: 7113250325 Enrollment ID: O20190603002234

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. Charles Evans Thompson Jr 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
Charles Evans Thompson Jr, FNP-C 105 Beaver Run, Lagrange, GA 30241-1519 Ph: () -	Charles Evans Thompson Jr, FNP-C 105 Beaver Run, Lagrange, GA 30241-1519 Ph: (706) 443-4278

Reviews and Comments

Nurse Practitioner Nurses in Lagrange, GA

Jennifer Nichole Speelman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191
Maria Ann Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353
Notoya Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241 Phone: 706-443-5273 Fax: 762-323-1014
Anna Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 North Davis Street, Lagrange, GA 30240 Phone: 706-812-4068
Joni Lee Winter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 Fax: 706-845-2193
John Thomas Veal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Broome St, Lagrange, GA 30240 Phone: 706-954-6750

Charles Evans Thompson Jr, FNP-C - Medicare Nurse Practitioner in Lagrange, GA