Kelsey M Thompson, DDS is a medicare enrolled "Dentist - General Practice" provider in Mc Gregor, Texas. Her current practice location is
500 Johnson Dr, Mc Gregor, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 313-5200.
Kelsey M Thompson is licensed to practice in Tennessee (license number 10127) 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 1194100016.
Healthcare Provider's Profile
| Full Name | Kelsey M Thompson |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 500 Johnson Dr, Mc Gregor, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194100016
- Provider Enumeration Date: 07/21/2015
- Last Update Date: 05/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658676804
- Enrollment ID: I20230601000648
Medical Identifiers
Medical identifiers for Kelsey M Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194100016 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 10127 (Tennessee) | 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. Kelsey M Thompson allows following entities to bill medicare on her behalf.
| Entity Name | Heart Of Texas Community Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568191492
PECOS PAC ID: 1153370242
Enrollment ID: O20050114000813 |
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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. Kelsey M 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 |
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Kelsey M Thompson, DDS
2289 Norwalk St,
Hamtramck, MI 48212-3416
Ph: () - | Kelsey M Thompson, DDS
500 Johnson Dr,
Mc Gregor, TX 76657-1441
Ph: (254) 313-5200 |
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