Samuel Thompson, is a
Registered Nurse based in Decatur, Mississippi. Samuel Thompson is licensed to practice in Mississippi (license number 913239) and his current practice location is
535 Scanlan Rd, Decatur, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 513-7545.
NPI number for Samuel Thompson is 1407736796 and his current mailing address is 535 Scanlan Rd, Decatur, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407736796.
Provider's Profile
| Full Name | Samuel Thompson |
|---|
| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 535 Scanlan Rd, Decatur, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407736796
- Provider Enumeration Date: 09/05/2025
- Last Update Date: 09/05/2025
Medical Identifiers
Medical identifiers for Samuel Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407736796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 913239 (Mississippi) | Primary |
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. Samuel Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Samuel Thompson,
535 Scanlan Rd,
Decatur, MS 39327-9313
Ph: () - | Samuel Thompson,
535 Scanlan Rd,
Decatur, MS 39327-9313
Ph: (601) 513-7545 |
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