| Krishawna Mund Thompson, NP-C | |
|
16 N Liberty, Shepherd, TX 77371-2460 | |
| (936) 628-1694 | |
| (936) 628-3109 |
| Full Name | Krishawna Mund Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 16 N Liberty, Shepherd, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891133294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 734317 (Texas) | Primary |
| Entity Name | Carelon Medical Partners, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20210311001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishawna Mund Thompson, NP-C 16 N Liberty, Shepherd, TX 77371-2460 Ph: (936) 628-1694 | Krishawna Mund Thompson, NP-C 16 N Liberty, Shepherd, TX 77371-2460 Ph: (936) 628-1694 |
Carly Lyndell Duncan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Woodland Park Dr, Shepherd, TX 77371 Phone: 936-628-1100 Fax: 936-628-1188 | |
Christina Rochelle Shrader, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Woodland Park Dr, Shepherd, TX 77371 Phone: 936-628-1100 | |
Reyna Avitia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Byrd, Shepherd, TX 77371 Phone: 936-628-1694 Fax: 936-628-3109 |