Dr Peyton Thompson, MD | |
11416 Runnel Ridge Rd, Manor, TX 78653-3874 | |
(512) 760-0666 | |
(866) 265-1725 |
Full Name | Dr Peyton Thompson |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 52 Years |
Location | 11416 Runnel Ridge Rd, Manor, Texas |
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 |
---|---|---|---|
1861439069 | NPI | - | NPPES |
C0027883 | Other | TX | DPS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D9687 (Texas) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | D9687 (Texas) | Secondary |
208D00000X | General Practice | D9687 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crockett Medical Center | Crockett, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crockett Medical Center, Llc | 3173884152 | 7 |
Ess Of Crockett, Llc | 3678942778 | 12 |
Entity Name | Concord Medical Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Fallen Tree Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841467727 PECOS PAC ID: 4688745326 Enrollment ID: O20080624000233 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Entity Name | Crockett Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487155990 PECOS PAC ID: 3173884152 Enrollment ID: O20180316002045 |
Entity Name | Volente Physicians Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073003851 PECOS PAC ID: 5294080024 Enrollment ID: O20180620000798 |
Entity Name | Ess Of Crockett, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649988635 PECOS PAC ID: 3678942778 Enrollment ID: O20221213000258 |
Mailing Address | Practice Location Address |
---|---|
Dr Peyton Thompson, MD 11416 Runnel Ridge Rd, Manor, TX 78653-3874 Ph: (512) 760-0666 | Dr Peyton Thompson, MD 11416 Runnel Ridge Rd, Manor, TX 78653-3874 Ph: (512) 760-0666 |