Lisa Thompson, PA-C in Cottonwood, AZ - Medicare Physician Assistant

Lisa Thompson, PA-C is a medicare enrolled "Physician Assistant" physician in Cottonwood, Arizona. Her current practice location is 340 S Willard St, Cottonwood, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 634-5551.

Lisa Thompson is licensed to practice in Arizona (license number 8252) 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 1912463936.

Contact Information

	Lisa Thompson, PA-C
	340 S Willard St, Cottonwood, AZ 86326-4126
	(928) 634-5551
	Not Available

Physician's Profile

Full Name	Lisa Thompson
Gender	Female
Speciality	Physician Assistant
Location	340 S Willard St, Cottonwood, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912463936
Provider Enumeration Date: 02/14/2019
Last Update Date: 10/06/2023

Medicare PECOS Information:

PECOS PAC ID: 0143632547
Enrollment ID: I20201208002978

Medical Identifiers

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

Identifier	Type	State	Issuer
1912463936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	8252 (Arizona)	Secondary
363A00000X	Physician Assistant	8252 (Arizona)	Primary
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	8252 (Arizona)	Secondary

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. Lisa 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
Lisa Thompson, PA-C 1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235	Lisa Thompson, PA-C 340 S Willard St, Cottonwood, AZ 86326-4126 Ph: (928) 634-5551

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Lisa Thompson, PA-C - Medicare Physician Assistant in Cottonwood, AZ