Holly Katherine Marciniak Thompson, MD - Medicare Nuclear Medicine in Santa Clara, CA

Holly Katherine Marciniak Thompson, MD is a medicare enrolled "Nuclear Medicine - Nuclear Imaging & Therapy" physician in Santa Clara, California. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Nuclear Medicine. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 700 Lawrence Expy, Dept. 120, Santa Clara, California. You can reach out to her office (for appointments etc.) via phone at (408) 851-5600.

Holly Katherine Marciniak Thompson is licensed to practice in California (license number A116285) 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 1295962934.

Contact Information

Holly Katherine Marciniak Thompson, MD
700 Lawrence Expy, Dept. 120,
Santa Clara, CA 95051-5173
(408) 851-5600
Not Available



Physician's Profile

Full NameHolly Katherine Marciniak Thompson
GenderFemale
SpecialityNuclear Medicine
Experience16 Years
Location700 Lawrence Expy, Santa Clara, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Katherine Marciniak Thompson attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1295962934
  • Provider Enumeration Date: 06/21/2009
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032427943
  • Enrollment ID: I20150925001969

Medical Identifiers

Medical identifiers for Holly Katherine Marciniak Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295962934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology A116285 (California)Secondary
207UN0902XNuclear Medicine - Nuclear Imaging & Therapy A116285 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - RosevilleRoseville, CAHospital
Kaiser Foundation Hospital MantecaManteca, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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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. Holly Katherine Marciniak Thompson allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Holly Katherine Marciniak 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 AddressPractice Location Address
Holly Katherine Marciniak Thompson, MD
700 Lawrence Expy Dept 120,
Santa Clara, CA 95051-5173

Ph: (408) 851-5612
Holly Katherine Marciniak Thompson, MD
700 Lawrence Expy, Dept. 120,
Santa Clara, CA 95051-5173

Ph: (408) 851-5600

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