Shannon Nicole Thompson, in Jbsa Lackland, TX

Shannon Nicole Thompson, is a medicare enrolled "Emergency Medicine" physician in Jbsa Lackland, Texas. Her current practice location is 1100 Wilford Hall Loop, Jbsa Lackland, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 292-7331.

Shannon Nicole Thompson is licensed to practice in Virginia (license number 0101265602) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174059323.

Contact Information

	Shannon Nicole Thompson,
	1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638
	(210) 292-7331
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Nicole Thompson
Gender	Female
Speciality	Emergency Medicine
Location	1100 Wilford Hall Loop, Jbsa Lackland, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174059323
Provider Enumeration Date: 05/10/2017
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9931574449
Enrollment ID: I20230417000150

Medical Identifiers

Medical identifiers for Shannon Nicole Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174059323	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	T1584 (Texas)	Secondary
208D00000X	General Practice	0101265602 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	0101265602 (Virginia)	Primary

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. Shannon Nicole Thompson allows following entities to bill medicare on her behalf.

Entity Name	Victoria Emergency Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322

Entity Name	Emergency Medicine Services Of Tx, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124

Entity Name	Comal Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588438675 PECOS PAC ID: 6901259936 Enrollment ID: O20240126000022

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. Shannon Nicole 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
Shannon Nicole Thompson, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7331	Shannon Nicole Thompson, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-7331

Reviews and Comments

Emergency Medicine Doctors in Jbsa Lackland, TX

Daniel Allan Weidner, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3403
Dr. Anthony L Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-3442
Michael Joseph Rabener, DSC, EMPA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 808-433-3707
Dr. Abigail Greenwell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7331
Peter John Cuenca, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7331
Dr. Yevgeniy Mikhaylovich Maksimenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 443-538-0703

Shannon Nicole Thompson, - Medicare Emergency Medicine in Jbsa Lackland, TX