Ivy E Thompson, CFNP - Medicare Nurse Practitioner in Fairmont, WV

Ivy E Thompson, CFNP is a medicare enrolled "Nurse Practitioner - Family" in Fairmont, West Virginia. Her current practice location is 630 Fairmont Ave, Fairmont, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 534-8931.

Ivy E Thompson is licensed to practice in West Virginia (license number 104266) 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 1164079828.

Contact Information

Ivy E Thompson, CFNP
630 Fairmont Ave,
Fairmont, WV 26554-5104
(304) 534-8931
(681) 404-6120



Provider's Profile

Full NameIvy E Thompson
GenderFemale
SpecialityNurse Practitioner - Family
Location630 Fairmont Ave, Fairmont, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164079828
  • Provider Enumeration Date: 08/19/2019
  • Last Update Date: 12/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345673166
  • Enrollment ID: I20191210001085

Medical Identifiers

Medical identifiers for Ivy E Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164079828NPI-NPPES
1164079828MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 104266 (West Virginia)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. Ivy E Thompson allows following entities to bill medicare on her behalf.
Entity NameValeo Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407180888
PECOS PAC ID: 5597806471
Enrollment ID: O20100114000388

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Entity NamePreston Urgent Care Family Practice, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720358252
PECOS PAC ID: 9830366624
Enrollment ID: O20120119000167

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› Verified 5 days ago

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. Ivy E 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
Ivy E Thompson, CFNP
411 Morgantown St,
Kingwood, WV 26537-1095

Ph: (304) 329-0555
Ivy E Thompson, CFNP
630 Fairmont Ave,
Fairmont, WV 26554-5104

Ph: (304) 534-8931

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› Verified 5 days ago


Nurse Practitioner Nurses in Fairmont, WV

Chelsea Collins, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1201 Locust Ave Fl Center3, Fairmont, WV 26554
Phone: 304-367-4155    
Kathryn Nicole Preast, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1325 Locust Ave, Fairmont, WV 26554
Phone: 814-494-2542    
Therese Danielle Prosser, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1322 Locust Ave, Fairmont, WV 26554
Phone: 304-366-0700    
Chelsy N Harmer, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1703 Locust Ave, Fairmont, WV 26554
Phone: 304-366-6100    Fax: 304-366-2220
Amber Sinclaire Weaver, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1044 Hite Cir, Fairmont, WV 26554
Phone: 304-476-8497    Fax: 772-238-2080
Tressa Bonasso,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 23 Tresara Dr, Fairmont, WV 26554
Phone: 304-694-5898    
Tyonna Marie Jones, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Stoney Hill Rd, Fairmont, WV 26554
Phone: 304-333-8840    

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