Dr Terry Dean Thompson, DC, CCSP is a medicare enrolled "Chiropractor - Sports Physician" provider in Palestine, Illinois. His current practice location is
117 S Main St, Palestine, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 586-5454.
Dr Terry Dean Thompson is licensed to practice in Illinois (license number 038.004727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205804499.
Healthcare Provider's Profile
Full Name | Dr Terry Dean Thompson |
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Gender | Male |
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Speciality | Chiropractor - Sports Physician |
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Location | 117 S Main St, Palestine, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205804499
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 01/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 9032382197
- Enrollment ID: I20111104000673
Medical Identifiers
Medical identifiers for Dr Terry Dean Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205804499 | NPI | - | NPPES |
038004727 | Medicaid | IL | |
371140723 | Other | IL | FEIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 038-004727 (Illinois) | Secondary |
111NS0005X | Chiropractor - Sports Physician | 038.004727 (Illinois) | 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. Dr Terry Dean 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 |
Dr Terry Dean Thompson, DC, CCSP 117 S Main St, Palestine, IL 62451-1265 Ph: (618) 586-5454 | Dr Terry Dean Thompson, DC, CCSP 117 S Main St, Palestine, IL 62451-1265 Ph: (618) 586-5454 |
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