Kelly Ann Thompson, in Staples, MN - Medicare Nurse Practitioner

Kelly Ann Thompson, is a medicare enrolled "Nurse Practitioner" in Staples, Minnesota. Her current practice location is 49725 County 83, Staples, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 894-1515.

Kelly Ann Thompson is licensed to practice in Minnesota (license number 0382065) 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 1538159736.

Contact Information

	Kelly Ann Thompson,
	49725 County 83, Staples, MN 56479-5280
	(218) 894-1515
	(218) 894-1316

Map and Direction

Provider's Profile

Full Name	Kelly Ann Thompson
Gender	Female
Speciality	Nurse Practitioner
Location	49725 County 83, Staples, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538159736
Provider Enumeration Date: 10/27/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4981500519
Enrollment ID: I20031212000213

Medical Identifiers

Medical identifiers for Kelly Ann Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538159736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0382065 (Minnesota)	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. Kelly Ann Thompson allows following entities to bill medicare on her behalf.

Entity Name	Community Care Health Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210416001437

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. Kelly Ann 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
Kelly Ann Thompson, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515	Kelly Ann Thompson, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515

Reviews and Comments

Nurse Practitioner Nurses in Staples, MN

Kelly Vanvickle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515
Chelsey Lee Olander, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767
Jessica A Nybakken, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767
Mattie Rose Ellenson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-898-7518
Amber Rasinski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Prairie Ave Ne, Staples, MN 56479 Phone: 218-894-1515
Lisa Mary Smeby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767
Melissa Ann Buss, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767

Kelly Ann Thompson, - Medicare Nurse Practitioner in Staples, MN