Mr Corey Thompson, PA-C is a
Physician Assistant based in Waltham, Minnesota. Mr Corey Thompson is licensed to practice in Minnesota (license number 13635) and his current practice location is
33528 600th Ave, Waltham, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 279-2510.
NPI number for Mr Corey Thompson is 1386228583 and his current mailing address is 33528 600th Ave, Waltham, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386228583.
Provider's Profile
| Full Name | Mr Corey Thompson |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 33528 600th Ave, Waltham, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386228583
- Provider Enumeration Date: 05/12/2021
- Last Update Date: 05/12/2021
Medical Identifiers
Medical identifiers for Mr Corey Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386228583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 13635 (Minnesota) | Primary |
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. Mr Corey Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Corey Thompson, PA-C
33528 600th Ave,
Waltham, MN 55982-7681
Ph: (507) 279-2510 | Mr Corey Thompson, PA-C
33528 600th Ave,
Waltham, MN 55982-7681
Ph: (507) 279-2510 |
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