| Dr Reese E Thompson, MD | |
|
1241 W Stadium Blvd, Jefferson City, MO 65109-6023 | |
| (573) 556-7708 | |
| (573) 893-8061 |
| Full Name | Dr Reese E Thompson |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 40 Years |
| Location | 1241 W Stadium Blvd, Jefferson City, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922071992 | NPI | - | NPPES |
| 040011739 | Other | MO | MEDICARE RAILROAD |
| 123155 | Other | MO | GHP |
| CD6060 | Other | MO | RAILROAD GROUP |
| 113470 | Other | MO | BCBS |
| 0335266 | Other | MO | HEALTHLINK |
| 209663509 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 113750 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Mary's Hospital Jefferson City | Jefferson city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson City Medical Group Pc | 1850371089 | 102 |
| Entity Name | Jefferson City Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Reese E Thompson, MD Po Box 104240, Jefferson City, MO 65110-4240 Ph: (573) 556-7708 | Dr Reese E Thompson, MD 1241 W Stadium Blvd, Jefferson City, MO 65109-6023 Ph: (573) 556-7708 |
Dr. Robert J Mcdonald Jr., MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3527 W Truman Blvd, Ste 200, Jefferson City, MO 65109 Phone: 573-659-5570 Fax: 573-659-5577 | |
Douglas J Howland, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7708 Fax: 573-893-8061 | |
Michael Joseph Simmons, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7708 Fax: 573-893-8061 | |
Dr. David R. Marty, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109 Phone: 573-556-7708 Fax: 573-893-8061 |