| John W Thompson Jr, MD | |
|
235 N Pearl St, Brockton, MA 02301-1794 | |
| (508) 427-3741 | |
| (508) 427-3991 |
| Full Name | John W Thompson Jr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 235 N Pearl St, Brockton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356337711 | NPI | - | NPPES |
| 6183441 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 34853 (Massachusetts) | Primary |
| Entity Name | Southcoast Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336137629 PECOS PAC ID: 0749171957 Enrollment ID: O20040920000138 |
| Entity Name | Southcoast Hospitals Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306871223 PECOS PAC ID: 1850282310 Enrollment ID: O20041214000621 |
| Entity Name | South Shore Health Express Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477044212 PECOS PAC ID: 6406108836 Enrollment ID: O20181115000152 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Thompson Jr, MD 235 N Pearl St, Brockton, MA 02301-1794 Ph: (508) 427-3741 | John W Thompson Jr, MD 235 N Pearl St, Brockton, MA 02301-1794 Ph: (508) 427-3741 |
Jason Lou, General Practice Medicare: Accepting Medicare Assignments Practice Location: 110 Liberty St, Brockton, MA 02301 Phone: 508-565-3055 | |
Warren Russell Nickerson, MD General Practice Medicare: Medicare Enrolled Practice Location: 1 Pearl St, Brockton, MA 02301 Phone: 508-584-4107 |