Mark Edmund Thompson, DO in Lake City, FL - Medicare Radiation Oncology

Mark Edmund Thompson, DO is a medicare enrolled "Radiology - Therapeutic Radiology" physician in Lake City, Florida. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1983 and has 43 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Lake City Cancer Care Llc and his current practice location is 4520 W Us Highway 90, Lake City, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 755-0601.

Mark Edmund Thompson is licensed to practice in Florida (license number OS10194) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487646030.

Contact Information

	Mark Edmund Thompson, DO
	4520 W Us Highway 90, Lake City, FL 32055-8341
	(352) 755-0601
	(352) 755-0602

Map and Direction

Physician's Profile

Full Name	Mark Edmund Thompson
Gender	Male
Speciality	Radiation Oncology
Experience	43 Years
Location	4520 W Us Highway 90, Lake City, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark Edmund Thompson attended and graduated from Philadelphia College Of Osteopathic Medicine in 1983

NPI Data:

NPI Number: 1487646030
Provider Enumeration Date: 08/19/2005
Last Update Date: 05/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6002706983
Enrollment ID: I20071127000387

Medical Identifiers

Medical identifiers for Mark Edmund Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487646030	NPI	-	NPPES
310302	Other	FL	AVMED
02484	Other	FL	BLUE CROSS BLUE SHIELD
PTAN AG644E	Other	FL	LINKED TO GROUP PTAN IE881A EFFECTIVE 08/01/2015
0825156	Medicaid	OH
279300800	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	OS10194 (Florida)	Secondary
2085R0203X	Radiology - Therapeutic Radiology	OS10194 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake City Cancer Care Llc	7315250685	7

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. Mark Edmund Thompson allows following entities to bill medicare on his behalf.

Entity Name	Bardmoor Cancer Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811923386 PECOS PAC ID: 1850281411 Enrollment ID: O20040317000972

Entity Name	Lake City Cancer Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396132213 PECOS PAC ID: 7315250685 Enrollment ID: O20150715000887

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. Mark Edmund 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
Mark Edmund Thompson, DO 104 Woodmont Blvd Ste 500, Nashville, TN 37205-2245 Ph: (559) 475-4151	Mark Edmund Thompson, DO 4520 W Us Highway 90, Lake City, FL 32055-8341 Ph: (352) 755-0601

Reviews and Comments

Radiology Doctors in Lake City, FL

Dr. John J Bergin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Stonegate Ter Ste 103, Lake City, FL 32024 Phone: 386-755-1655 Fax: 386-628-9231
Dr. Mary Hamer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Vamc, Marion St., Lake City, FL 32025 Phone: 386-755-3016
Pachagiri L Suresh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016
Ricardo Bedoya-garcia, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 183 Nw Gwen Lake Ave, Lake City, FL 32055 Phone: 386-752-9144 Fax: 386-752-5881
Ashley Nobles, R.T.(R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016

Mark Edmund Thompson, DO - Medicare Radiation Oncology in Lake City, FL