Mitzi B Thompson, NP in Roseburg, OR - Medicare Nurse Practitioner

Mitzi B Thompson, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Roseburg, Oregon. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Donald E. Wonderly Md Pc and her current practice location is 2460 Nw Stewart Parkway, Suite 104, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-4463.

Mitzi B Thompson is licensed to practice in Oregon (license number 201505556NP-PP) 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 1912987926.

Contact Information

	Mitzi B Thompson, NP
	2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516
	(541) 677-4463
	(541) 677-3379

Map and Direction

Provider's Profile

Full Name	Mitzi B Thompson
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	2460 Nw Stewart Parkway, Roseburg, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mitzi B Thompson graduated from nursing school in 1999

NPI Data:

NPI Number: 1912987926
Provider Enumeration Date: 01/18/2006
Last Update Date: 02/03/2020

Medicare PECOS Information:

PECOS PAC ID: 5294036570
Enrollment ID: I20151209003099

Medical Identifiers

Medical identifiers for Mitzi B Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912987926	NPI	-	NPPES
3905311	Other	TN	MEDICARE-TENNCARE
500695863	Medicaid	OR
3905311	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	201505556NP-PP (Oregon)	Primary
363LW0102X	Nurse Practitioner - Women's Health	APN 0000005657 (Tennessee)	Secondary
163W00000X	Registered Nurse	RN0000055333 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Medical Center	Roseburg, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Donald E. Wonderly Md Pc	4082648720	3

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. Mitzi B Thompson allows following entities to bill medicare on her behalf.

Entity Name	Donald E. Wonderly Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952424541 PECOS PAC ID: 4082648720 Enrollment ID: O20050922000589

Entity Name	Centennial Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518103274 PECOS PAC ID: 6103982962 Enrollment ID: O20090303000063

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. Mitzi B 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
Mitzi B Thompson, NP 2460 Nw Stewart Pkwy, Ste 240, Roseburg, OR 97471-1516 Ph: (541) 677-6111	Mitzi B Thompson, NP 2460 Nw Stewart Parkway, Suite 104, Roseburg, OR 97471-1516 Ph: (541) 677-4463

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Charlene Davis, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309
Robin Rae Horton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-464-3519
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100
Morgan Michelle Petersen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 427 W Carroll Ct, Roseburg, OR 97471 Phone: 541-580-7378
Susan Carol Hibbs, PMHNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691

Mitzi B Thompson, NP - Medicare Nurse Practitioner in Roseburg, OR