| Michael Joel Thompson, RPA-C | |
|
845 State Road 44, New Smyrna Beach, FL 32168-7271 | |
| (386) 423-2550 | |
| (386) 423-2525 |
| Full Name | Michael Joel Thompson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 845 State Road 44, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245570324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016442 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA9112386 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ormond Medical Arts | 1254222565 | 38 |
| Entity Name | Ormond Medical Arts |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326254962 PECOS PAC ID: 1254222565 Enrollment ID: O20040324000407 |
| Entity Name | Wound Technology Network, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626 |
| Entity Name | WT Health of Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982434106 PECOS PAC ID: 5294268124 Enrollment ID: O20241030001547 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Joel Thompson, RPA-C 845 State Road 44, New Smyrna Beach, FL 32168-7271 Ph: (386) 423-2550 | Michael Joel Thompson, RPA-C 845 State Road 44, New Smyrna Beach, FL 32168-7271 Ph: (386) 423-2550 |
Yasmine Faisal Haidar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 617 Canal St Ste 110, New Smyrna Beach, FL 32168 Phone: 386-734-9122 |
Mr. Todd K. Bergan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1860 Renzulli Road, New Smyrna Beach, FL 32168 Phone: 386-663-3064 |
Mr. Matthew Tsampico Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 807 State Road 44, New Smyrna Beach, FL 32168 Phone: 386-428-5554 Fax: 386-428-6291 |
Katherine Vanhove, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Live Oak St Ste B, New Smyrna Beach, FL 32168 Phone: 386-518-3671 |
Shelby Wheeler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Dixie Fwy, New Smyrna Beach, FL 32168 Phone: 386-423-0505 |
Julian Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 161 N Causeway Ste A, New Smyrna Beach, FL 32169 Phone: 386-424-1584 Fax: 386-410-4800 |
Mr. Marc Bryan Hull, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1860 Renzulli Rd, New Smyrna Beach, FL 32168 Phone: 386-663-3061 Fax: 386-663-3066 |