Mr Evan Scott Thompson, PA-C, ATC, AEMT is a medicare enrolled "Physician Assistant" physician in Keene, New Hampshire. His current practice location is
580 Court St, Keene, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 354-5400.
Mr Evan Scott Thompson is licensed to practice in New Hampshire (license number 2009) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376941740.
Physician's Profile
| Full Name | Mr Evan Scott Thompson |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 580 Court St, Keene, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376941740
- Provider Enumeration Date: 12/16/2014
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092172825
- Enrollment ID: I20230608002823
Medical Identifiers
Medical identifiers for Mr Evan Scott Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376941740 | NPI | - | NPPES |
| 0555 | Other | NH | NH STATE ATHLETIC TRAINING LICENSE |
| 30091A | Other | NH | NH DEPT. OF SAFETY; DIVISION OF FIRE STANDARDS & TRAINING AND EMS; BUREAU OF EMS |
| 2000012822 | Other | | BOARD OF CERTIFICATION |
| A2022946 | Other | NH | NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 30091 (New Hampshire) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 0555 (New Hampshire) | Secondary |
| 363A00000X | Physician Assistant | 2009 (New Hampshire) | 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. Mr Evan Scott 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 |
|---|
Mr Evan Scott Thompson, PA-C, ATC, AEMT
1260 Elm St,
Manchester, NH 03101-1305
Ph: (603) 314-1701 | Mr Evan Scott Thompson, PA-C, ATC, AEMT
580 Court St,
Keene, NH 03431-1729
Ph: (603) 354-5400 |
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