Angie Thompson, in Lino Lakes, MN - Medicare Speech-Language Pathologist Provider

Angie Thompson, is a medicare enrolled "Speech-language Pathologist" provider in Lino Lakes, Minnesota. Her current practice location is 6776 Lake Dr Ste 220, Lino Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 784-7007.

Angie Thompson is licensed to practice in Minnesota (license number 10491) 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 1376153346.

Contact Information

	Angie Thompson,
	6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192
	(651) 784-7007
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Angie Thompson
Gender	Female
Speciality	Speech-language Pathologist
Location	6776 Lake Dr Ste 220, Lino Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376153346
Provider Enumeration Date: 08/05/2020
Last Update Date: 08/05/2020

Medicare PECOS Information:

PECOS PAC ID: 4981024221
Enrollment ID: I20201026002207

Medical Identifiers

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

Identifier	Type	State	Issuer
1376153346	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	10491 (Minnesota)	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. Angie Thompson allows following entities to bill medicare on her behalf.

Provider Name	Advance Speech Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215144654 PECOS PAC ID: 5496064644 Enrollment ID: O20151029000276

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. Angie 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
Angie Thompson, 6139 Pine St, Lino Lakes, MN 55014-2013 Ph: () -	Angie Thompson, 6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 Ph: (651) 784-7007

Reviews and Comments

Speech-Language Pathologist in Lino Lakes, MN

Emily Goldhammer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992
Advance Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014 Phone: 651-784-7007
Shana Banas, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007
Kaylen Whetstone, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992
Kaelyn Layell Isaacson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007
Advance Speech Therapy, Llc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992
Renee Deborah Therrien Bouchareb, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007

Angie Thompson, - Medicare Speech-Language Pathologist in Lino Lakes, MN