Keith Thompson, MD is a
Surgery physician based in Martin, Tennessee. Keith Thompson is licensed to practice in Tennessee (license number 29386) and his current practice location is 143 Kennedy Dr, Suite A, Martin, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 587-5321.
NPI number for Keith Thompson is 1215997077 and his current mailing address is 143 Kennedy Dr, Suite A, Martin, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215997077.
Physician's Profile
| Full Name | Keith Thompson |
|---|
| Gender | Male |
|---|
| Speciality | Surgery |
|---|
| Location | 143 Kennedy Dr, Martin, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215997077
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 10/09/2008
Medical Identifiers
Medical identifiers for Keith Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215997077 | NPI | - | NPPES |
| 36655 | Other | TN | TLC |
| 000000188621 | Other | TN | UNISON |
| 3815542 | Medicaid | TN | |
| 07375201 | Medicaid | MS | |
| 4128847 | Other | TN | BCBS |
| 4383459 | Other | TN | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 18049 (Mississippi) | Secondary |
| 208600000X | Surgery | 29386 (Tennessee) | Primary |
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. Keith Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keith Thompson, MD 143 Kennedy Dr, Suite A, Martin, TN 38237-3309 Ph: (731) 587-5321 | Keith Thompson, MD 143 Kennedy Dr, Suite A, Martin, TN 38237-3309 Ph: (731) 587-5321 |
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