Evan Michael Thompson, NURSE PRACTITIONER in Kennesaw, GA

Evan Michael Thompson, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Kennesaw, Georgia. His current practice location is 4069 Cherokee St Nw Ste 400, Kennesaw, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 766-1193.

Evan Michael Thompson is licensed to practice in Georgia (license number RN295468) 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 1598523557.

Contact Information

	Evan Michael Thompson, NURSE PRACTITIONER
	4069 Cherokee St Nw Ste 400, Kennesaw, GA 30144-1278
	(470) 766-1193
	Not Available

Map and Direction

Provider's Profile

Full Name	Evan Michael Thompson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4069 Cherokee St Nw Ste 400, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598523557
Provider Enumeration Date: 03/13/2024
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0749724284
Enrollment ID: I20240626000542

Medical Identifiers

Medical identifiers for Evan Michael Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598523557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN295468 (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. Evan Michael Thompson allows following entities to bill medicare on his behalf.

Entity Name	Afc Physicians Of Georgia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982950671 PECOS PAC ID: 0345493375 Enrollment ID: O20121226000357

Entity Name	Afc Physicians Of Georgia Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225617525 PECOS PAC ID: 9436554318 Enrollment ID: O20210817000399

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. Evan Michael 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
Evan Michael Thompson, NURSE PRACTITIONER 4655 Shallowford Rd, Roswell, GA 30075-3127 Ph: () -	Evan Michael Thompson, NURSE PRACTITIONER 4069 Cherokee St Nw Ste 400, Kennesaw, GA 30144-1278 Ph: (470) 766-1193

Reviews and Comments

Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560

Evan Michael Thompson, NURSE PRACTITIONER - Medicare Nurse Practitioner in Kennesaw, GA