Dr Breanna Summers Thompson, DO - Medicare Family Practice in Fort Collins, CO

Dr Breanna Summers Thompson, DO is a medicare enrolled "Pediatrics" physician in Fort Collins, Colorado. She went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Willamette Valley Clinics Llc and her current practice location is 1635 Blue Spruce Dr, Fort Collins, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 494-4040.

Dr Breanna Summers Thompson is licensed to practice in Colorado (license number DR.0049522) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710129473.

Contact Information

Dr Breanna Summers Thompson, DO
1635 Blue Spruce Dr,
Fort Collins, CO 80524-5427
(970) 494-4040
(970) 494-4076

Map and Direction




Physician's Profile

Full NameDr Breanna Summers Thompson
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location1635 Blue Spruce Dr, Fort Collins, Colorado
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Breanna Summers Thompson attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2009
  NPI Data:
  • NPI Number: 1710129473
  • Provider Enumeration Date: 03/27/2009
  • Last Update Date: 04/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5294983771
  • Enrollment ID: I20210803003618

Medical Identifiers

Medical identifiers for Dr Breanna Summers Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710129473NPI-NPPES
71333240MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics DR.0049522 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Willamette Valley Medical CenterMcminnville, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Willamette Valley Clinics Llc610372931431

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. Dr Breanna Summers Thompson allows following entities to bill medicare on her behalf.
Entity NameWillamette Valley Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790740520
PECOS PAC ID: 6103729314
Enrollment ID: O20040127000785

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. Dr Breanna Summers 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 AddressPractice Location Address
Dr Breanna Summers Thompson, DO
203 S Rollie Ave,
Fort Lupton, CO 80621-1508

Ph: (303) 286-4560
Dr Breanna Summers Thompson, DO
1635 Blue Spruce Dr,
Fort Collins, CO 80524-5427

Ph: (970) 494-4040

Reviews and Comments


Pediatrics Doctors in Fort Collins, CO

Dr. Michael R Hobaugh, MD, PHD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1330 Oakridge Dr., Ste 100, Pediatric Associates Of Northern Colorado, Fort Collins, CO 80525
Phone: 970-484-4871    Fax: 970-482-4927
Julie M. Brockway, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Elizabeth St, Fort Collins, CO 80524
Phone: 970-416-6286    Fax: 970-482-2635
Dr. Kathlene Sue Waller, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523
Phone: 970-491-7121    Fax: 970-491-0226
Amy Macritchie, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1024 S Lemay Ave, Fort Collins, CO 80524
Phone: 970-495-8282    
Sarah Jayne Hathcock, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1635 Blue Spruce Dr, Fort Collins, CO 80524
Phone: 303-697-2583    Fax: 970-494-4050
Kathleen Anne Hannifan, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Elizabeth St, The Youth Clinic, Fort Collins, CO 80524
Phone: 979-267-9510    
Dr. Richard Rawson Booth, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2001 S. Shields Street, Bldg G, Fort Collins, CO 80526
Phone: 970-484-4871    Fax: 970-482-4927

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.