Mr Eric Thompson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bluff Dale, Texas. His current practice location is
1412 County Road 1010, Bluff Dale, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 396-2290.
Mr Eric Thompson is licensed to practice in Texas (license number 1149310) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215700869.
Provider's Profile
| Full Name | Mr Eric Thompson |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1412 County Road 1010, Bluff Dale, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215700869
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 02/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416391354
- Enrollment ID: I20240219001775
Medical Identifiers
Medical identifiers for Mr Eric Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215700869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 696990 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1149310 (Texas) | 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. Mr Eric Thompson allows following entities to bill medicare on his behalf.
| Entity Name | Gdn Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720554231
PECOS PAC ID: 7810236007
Enrollment ID: O20190306000814 |
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| Entity Name | Dynamic Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598541427
PECOS PAC ID: 0143674465
Enrollment ID: O20230920002667 |
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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. Mr Eric 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 |
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Mr Eric Thompson, FNP
1412 County Road 1010,
Bluff Dale, TX 76433-6127
Ph: (254) 396-2290 | Mr Eric Thompson, FNP
1412 County Road 1010,
Bluff Dale, TX 76433-6127
Ph: (254) 396-2290 |
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