Mrs Ebonique Thomson, FNP - Medicare Nurse Practitioner in Burbank, CA

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Mrs Ebonique Thomson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Burbank, California. Her current practice location is 511 N Hollywood Way, Burbank, California. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Ebonique Thomson is licensed to practice in Arizona (license number 223100) 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 1003375825.

Contact Information

Mrs Ebonique Thomson, FNP
511 N Hollywood Way,
Burbank, CA 91505-3406
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameMrs Ebonique Thomson
GenderFemale
SpecialityNurse Practitioner - Family
Location511 N Hollywood Way, Burbank, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003375825
  • Provider Enumeration Date: 03/19/2019
  • Last Update Date: 02/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3870916760
  • Enrollment ID: I20230928002764

Medical Identifiers

Medical identifiers for Mrs Ebonique Thomson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003375825NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 223100 (Arizona)Primary
363LF0000XNurse Practitioner - Family 95034838 (California)Secondary

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. Mrs Ebonique Thomson allows following entities to bill medicare on her behalf.
Entity NameAdobe Provider Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659850279
PECOS PAC ID: 0749683480
Enrollment ID: O20210719003252
Entity NameEst Iv Hydration & Wellness Spa Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518748524
PECOS PAC ID: 7517496110
Enrollment ID: O20250303001390

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. Mrs Ebonique Thomson 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 AddressPractice Location Address
Mrs Ebonique Thomson, FNP
511 N Hollywood Way,
Burbank, CA 91505-3406

Ph: (866) 389-2727		Mrs Ebonique Thomson, FNP
511 N Hollywood Way,
Burbank, CA 91505-3406

Ph: (866) 389-2727

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.