Autumn Marie Thompson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Mount Pleasant, South Carolina. Her current practice location is
3698 Spindrift Dr, Mount Pleasant, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(330) 523-8446.
Autumn Marie Thompson is licensed to practice in * (Not Available) (license number ) 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 1467215715.
Provider's Profile
| Full Name | Autumn Marie Thompson |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3698 Spindrift Dr, Mount Pleasant, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467215715
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507399755
- Enrollment ID: I20241028001206
Medical Identifiers
Medical identifiers for Autumn Marie Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467215715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Autumn Marie Thompson allows following entities to bill medicare on her behalf.
| Entity Name | Salem Emergency Physicians Service, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063454395 PECOS PAC ID: 8628061124 Enrollment ID: O20040408000014 |
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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. Autumn Marie 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 |
Autumn Marie Thompson, 3698 Spindrift Dr, Mount Pleasant, SC 29466-7552 Ph: Not Available | Autumn Marie Thompson, 3698 Spindrift Dr, Mount Pleasant, SC 29466-7552 Ph: (330) 523-8446 |
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