| Dr Diane Antoinette Thompson, MD | |
|
901 45th St, Mangonia Park, FL 33407-2413 | |
| (561) 882-6494 | |
| (561) 841-9953 |
| Full Name | Dr Diane Antoinette Thompson |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 901 45th St, Mangonia Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851618797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P0301X | Physical Medicine & Rehabilitation - Brain Injury Medicine | ME161062 (Florida) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 273447 (New York) | Primary |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982993184 PECOS PAC ID: 8527972546 Enrollment ID: O20040407001360 |
| Entity Name | Kings Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083045090 PECOS PAC ID: 0547579427 Enrollment ID: O20151015000175 |
| Entity Name | Trustees Of Columbia University In The City Of New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diane Antoinette Thompson, MD 700 S Rosemary Ave Ste 204, West Palm Beach, FL 33401-6310 Ph: (917) 250-3380 | Dr Diane Antoinette Thompson, MD 901 45th St, Mangonia Park, FL 33407-2413 Ph: (561) 882-6494 |
Cara Thomas, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 901 45th St, Mangonia Park, FL 33407 Phone: 201-654-6397 Fax: 016-089-2412 | |
Dr. Benjamin D Westerhaus, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 927 45th St Ste 303, Mangonia Park, FL 33407 Phone: 561-935-1188 Fax: 561-291-6670 |