| Jayde A Thompson, | |
|
505 Gopher Dr, Tomah, WI 54660-4513 | |
| (608) 372-4111 | |
| Not Available |
| Full Name | Jayde A Thompson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 505 Gopher Dr, Tomah, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487032439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 5393 (Wisconsin) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tomah Memorial Hospital | Tomah, WI | Hospital |
| Gundersen Tri-county Hospital And Clinics | Whitehall, WI | Hospital |
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Clinic Ltd | 9638082779 | 422 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Moundview Memorial Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124063573 PECOS PAC ID: 4587642418 Enrollment ID: O20090901000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayde A Thompson, 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Jayde A Thompson, 505 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-4111 |
Bradley Duane Maurhoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |
Jane E Weiss, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 |
Megan R Grygleski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 |
Brad A Jones, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-372-4111 |
Kristi L Carlson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Butts Avenue, Tomah, WI 54660 Phone: 608-372-5951 Fax: 608-372-3436 |
Daniel John Koperski, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1206 |
Jerome E Hartmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-1799 |