| Kathryn Thompson, | |
|
13139 Lake Place Rd, Zimmerman, MN 55398-9567 | |
| (701) 260-5358 | |
| (763) 856-2773 |
| Full Name | Kathryn Thompson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 13139 Lake Place Rd, Zimmerman, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528285863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R1760860 (Minnesota) | Primary |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Thompson, 13139 Lake Place Rd, Zimmerman, MN 55398-9567 Ph: (701) 260-5358 | Kathryn Thompson, 13139 Lake Place Rd, Zimmerman, MN 55398-9567 Ph: (701) 260-5358 |
Kelly Korene White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25945 Gateway Dr, Zimmerman, MN 55398 Phone: 763-856-6900 |
Wendy Sabinske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25082 117th St Nw, Zimmerman, MN 55398 Phone: 763-218-8188 |
Mikayla Ellen Siemsen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12025 276th Ave Nw, Zimmerman, MN 55398 Phone: 763-350-6676 |