Charlotte Thompson, PA-C - Medicare Physician Assistant in Fort Defiance, AZ

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Charlotte Thompson, PA-C is a medicare enrolled "Physician Assistant" in Fort Defiance, Arizona. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Osu Emergency Medicine Llc, Osu Observation Medicine, Llc and her current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8000.

Charlotte Thompson is licensed to practice in Ohio (license number 50.002633RX) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417148735.

Contact Information

Charlotte Thompson, PA-C
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8000
Not Available

Map and Direction




Provider's Profile

Full NameCharlotte Thompson
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlotte Thompson graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1417148735
  • Provider Enumeration Date: 08/05/2007
  • Last Update Date: 02/04/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1658420856
  • Enrollment ID: I20090519000020

Medical Identifiers

Medical identifiers for Charlotte Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417148735NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.002633RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohio State University HospitalsColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osu Emergency Medicine Llc2668386673169
Osu Observation Medicine, Llc3375692270423

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. Charlotte Thompson allows following entities to bill medicare on her behalf.
Entity NameOSU Emergency Medicine LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699705681
PECOS PAC ID: 2668386673
Enrollment ID: O20031114000120
Entity NameOSU Observation Medicine, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407095052
PECOS PAC ID: 3375692270
Enrollment ID: O20090526000354
Entity NameOhio Emergency Professionals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982983425
PECOS PAC ID: 0547433328
Enrollment ID: O20111024000785

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. Charlotte 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 AddressPractice Location Address
Charlotte Thompson, PA-C
Po Box 649,
Fort Defiance, AZ 86504-0649

Ph: (928) 729-8000		Charlotte Thompson, PA-C
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8000

Reviews and Comments


Physician Assistant Nurses in Fort Defiance, AZ

Pony Nancy Sokiri, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Andrew Yosim, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Kyle Maxum,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Roanne Jimenez,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Miriam Christine Rollason, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Ms. Tessa Tahereh Facer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Ceairra Torres Beck,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 & N7, Fort Defiance, AZ 86504
Phone: 928-729-8431    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.