Mr Evan Scott Thompson, PA-C, ATC, AEMT in Keene, NH - Medicare Physician Assistant

Mr Evan Scott Thompson, PA-C, ATC, AEMT is a medicare enrolled "Physician Assistant" physician in Keene, New Hampshire. His current practice location is 580 Court St, Keene, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 354-5400.

Mr Evan Scott Thompson is licensed to practice in New Hampshire (license number 2009) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376941740.

Contact Information

	Mr Evan Scott Thompson, PA-C, ATC, AEMT
	580 Court St, Keene, NH 03431-1729
	(603) 354-5400
	Not Available

Physician's Profile

Full Name	Mr Evan Scott Thompson
Gender	Male
Speciality	Physician Assistant
Location	580 Court St, Keene, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376941740
Provider Enumeration Date: 12/16/2014
Last Update Date: 05/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5092172825
Enrollment ID: I20230608002823

Medical Identifiers

Medical identifiers for Mr Evan Scott Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376941740	NPI	-	NPPES
0555	Other	NH	NH STATE ATHLETIC TRAINING LICENSE
30091A	Other	NH	NH DEPT. OF SAFETY; DIVISION OF FIRE STANDARDS & TRAINING AND EMS; BUREAU OF EMS
2000012822	Other		BOARD OF CERTIFICATION
A2022946	Other	NH	NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	30091 (New Hampshire)	Secondary
2255A2300X	Specialist/technologist - Athletic Trainer	0555 (New Hampshire)	Secondary
363A00000X	Physician Assistant	2009 (New Hampshire)	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. Mr Evan Scott 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
Mr Evan Scott Thompson, PA-C, ATC, AEMT 1260 Elm St, Manchester, NH 03101-1305 Ph: (603) 314-1701	Mr Evan Scott Thompson, PA-C, ATC, AEMT 580 Court St, Keene, NH 03431-1729 Ph: (603) 354-5400

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Mr Evan Scott Thompson, PA-C, ATC, AEMT - Medicare Physician Assistant in Keene, NH