Ms Holly Gwen Thompson, PAC is a
Physician Assistant based in Winfield, West Virginia. Ms Holly Gwen Thompson is licensed to practice in Virginia (license number 0110-002246) and her current practice location is
26 Elm Street, Winfield, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 586-6362.
NPI number for Ms Holly Gwen Thompson is 1023191574 and her current mailing address is 4750 Hempstead Station Dr, Kettering, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023191574.
Provider's Profile
| Full Name | Ms Holly Gwen Thompson |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 26 Elm Street, Winfield, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023191574
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 11/13/2008
Medical Identifiers
Medical identifiers for Ms Holly Gwen Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023191574 | NPI | - | NPPES |
| 1071915 | Other | WV | WV DWC |
| 001718835 | Other | WV | WV BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110-002246 (Virginia) | Primary |
| 363A00000X | Physician Assistant | 1062 (West Virginia) | Secondary |
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. Ms Holly Gwen 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 |
|---|
Ms Holly Gwen Thompson, PAC
4750 Hempstead Station Dr,
Kettering, OH 45429-5164
Ph: (800) 875-0136 | Ms Holly Gwen Thompson, PAC
26 Elm Street,
Winfield, WV 25213
Ph: (304) 586-6362 |
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