Kelli Sue Thompson, FNP-C in Glendale, AZ - Medicare Nurse Practitioner

Kelli Sue Thompson, FNP-C is a medicare enrolled "Nurse Practitioner" in Glendale, Arizona. Her current practice location is 18555 N 79th Ave Ste D101, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 563-8009.

Kelli Sue Thompson is licensed to practice in Arizona (license number AP11562) 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 1124488317.

Contact Information

	Kelli Sue Thompson, FNP-C
	18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040
	(480) 563-8009
	(480) 563-8009

Map and Direction

Provider's Profile

Full Name	Kelli Sue Thompson
Gender	Female
Speciality	Nurse Practitioner
Location	18555 N 79th Ave Ste D101, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124488317
Provider Enumeration Date: 03/01/2016
Last Update Date: 08/22/2018

Medicare PECOS Information:

PECOS PAC ID: 8527367333
Enrollment ID: I20160429000352

Medical Identifiers

Medical identifiers for Kelli Sue Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124488317	NPI	-	NPPES
356798401	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP128449 (Texas)	Secondary
363L00000X	Nurse Practitioner	AP11562 (Arizona)	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. Kelli Sue Thompson allows following entities to bill medicare on her behalf.

Entity Name	Emh Central Nw Austin Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932834371 PECOS PAC ID: 6103279260 Enrollment ID: O20240125001932

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. Kelli Sue 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
Kelli Sue Thompson, FNP-C 9977 N 90th St Ste 350, Scottsdale, AZ 85258-4434 Ph: (480) 245-6126	Kelli Sue Thompson, FNP-C 18555 N 79th Ave Ste D101, Glendale, AZ 85308-6040 Ph: (480) 563-8009

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507
Kaitlin Spivey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7701 W Aspera Blvd, Glendale, AZ 85308 Phone: 623-248-2100
Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101
Kelly Lynn Rauch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307 Phone: 623-882-1292 Fax: 623-882-8184
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Kelli Sue Thompson, FNP-C - Medicare Nurse Practitioner in Glendale, AZ