Kelly Dawn Thompson, is a medicare enrolled "Marriage & Family Therapist" provider in Temecula, California. Her current practice location is
28693 Old Town Front St, Temecula, California. You can reach out to her office (for appointments etc.) via phone at
(951) 395-1916.
Kelly Dawn Thompson is licensed to practice in California (license number 152301) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376067231.
Healthcare Provider's Profile
| Full Name | Kelly Dawn Thompson |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 28693 Old Town Front St, Temecula, California |
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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: 1376067231
- Provider Enumeration Date: 08/01/2017
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 6507389137
- Enrollment ID: I20250325001057
Medical Identifiers
Medical identifiers for Kelly Dawn Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376067231 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | AMFT126507 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 152301 (California) | Primary |
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. Kelly Dawn Thompson allows following entities to bill medicare on her behalf.
| Entity Name | Flourish Family Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598382988 PECOS PAC ID: 2062804552 Enrollment ID: O20220112002468 |
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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. Kelly Dawn 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 |
Kelly Dawn Thompson, 3470 Nature Trail Ct, Perris, CA 92571-7364 Ph: (661) 345-0036 | Kelly Dawn Thompson, 28693 Old Town Front St, Temecula, CA 92590-2786 Ph: (951) 395-1916 |
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