Dr Dennis Fred Thompson, MD is a medicare enrolled "Otolaryngology" physician in Saint Joseph, Michigan. His current practice location is
2680 S Cleveland Ave, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 982-3368.
Dr Dennis Fred Thompson is licensed to practice in Michigan (license number 4301070920) 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 1659373256.
Physician's Profile
| Full Name | Dr Dennis Fred Thompson |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 2680 S Cleveland Ave, Saint Joseph, Michigan |
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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: 1659373256
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 06/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 2769589753
- Enrollment ID: I20070529000104
Medical Identifiers
Medical identifiers for Dr Dennis Fred Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659373256 | NPI | - | NPPES |
| 4171338 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 4301070920 (Michigan) | 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. Dr Dennis Fred Thompson allows following entities to bill medicare on his behalf.
| Entity Name | Lakeland Medical Practices |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
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| Entity Name | Lakeland Community Hospital Watervliet |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
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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. Dr Dennis Fred 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 Dennis Fred Thompson, MD 2680 S Cleveland Ave, Saint Joseph, MI 49085-3002 Ph: (269) 982-3368 | Dr Dennis Fred Thompson, MD 2680 S Cleveland Ave, Saint Joseph, MI 49085-3002 Ph: (269) 982-3368 |
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