| Donovan Thompson, MD | |
|
3101 Latrobe Dr, Charlotte, NC 28211-4849 | |
| (704) 376-7362 | |
| Not Available |
| Full Name | Donovan Thompson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3101 Latrobe Dr, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982620985 | NPI | - | NPPES |
| N00780 | Medicaid | SC | |
| 8910558 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 37576 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | 9700780 (North Carolina) | Primary |
| Entity Name | Emergency Medicine Physicians Of Mecklenburg County Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912232182 PECOS PAC ID: 3870635584 Enrollment ID: O20100119000374 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Entity Name | Wake Forest Emergency Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396216735 PECOS PAC ID: 7012819816 Enrollment ID: O20190312003619 |
| Entity Name | Ballantyne Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164052726 PECOS PAC ID: 8123459898 Enrollment ID: O20200513000736 |
| Entity Name | Dispatchhealth Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932714284 PECOS PAC ID: 2961815295 Enrollment ID: O20210106000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Donovan Thompson, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362 | Donovan Thompson, MD 3101 Latrobe Dr, Charlotte, NC 28211-4849 Ph: (704) 376-7362 |
Chelsea Kolshak, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
Nicole Hadley, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 136 E 36t St Suite 200, Charlotte, NC 28206 Phone: 704-801-3400 | |
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 | |
Dr. Hannah Elizabeth Corral, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687 | |
Kevin Hale Black, DDS, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171 |