Jeremy Keith Thompson, FNP-C - Medicare Nurse Practitioner in Jacksonville, NC

Jeremy Keith Thompson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, North Carolina. His current practice location is 461 Western Blvd Ste 122, Jacksonville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 333-0283.

Jeremy Keith Thompson is licensed to practice in North Carolina (license number 5009048) 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 1164974796.

Contact Information

Jeremy Keith Thompson, FNP-C
461 Western Blvd Ste 122,
Jacksonville, NC 28546-7637
(910) 333-0283
(910) 333-0513



Provider's Profile

Full NameJeremy Keith Thompson
GenderMale
SpecialityNurse Practitioner - Family
Location461 Western Blvd Ste 122, Jacksonville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164974796
  • Provider Enumeration Date: 10/31/2016
  • Last Update Date: 06/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8325320245
  • Enrollment ID: I20170127002342

Medical Identifiers

Medical identifiers for Jeremy Keith Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164974796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 5009048 (North Carolina)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. Jeremy Keith Thompson allows following entities to bill medicare on his behalf.
Entity NameStar Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033565007
PECOS PAC ID: 6800183963
Enrollment ID: O20160919000529

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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. Jeremy Keith 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
Jeremy Keith Thompson, FNP-C
9900 Bren Road East, Mail Route Mn 008-b213,
Minnetonka, MN 55343

Ph: () -
Jeremy Keith Thompson, FNP-C
461 Western Blvd Ste 122,
Jacksonville, NC 28546-7637

Ph: (910) 333-0283

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Nurse Practitioner Nurses in Jacksonville, NC

Amber Morgan Autry, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 317 Western Blvd, Jacksonville, NC 28546
Phone: 910-577-2345    
Elizabeth B Roberts, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 461 Western Blvd Ste 122, Jacksonville, NC 28546
Phone: 910-333-0283    Fax: 910-333-0513
Stephanny Parker, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Tarpon Trl, Jacksonville, NC 28546
Phone: 910-938-1114    Fax: 910-938-1118
Leah Christine Fitzgerald, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 114a Memorial Dr, Jacksonville, NC 28546
Phone: 910-353-0700    Fax: 910-353-5305
Michelle L Snyder, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3280 Henderson Dr Ste C, Jacksonville, NC 28546
Phone: 910-915-8450    Fax: 888-745-7026
Kayla Noel Andrews, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Hargett St, Jacksonville, NC 28540
Phone: 910-219-1082    
Paula Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 612 College St, Jacksonville, NC 28540
Phone: 910-347-2154    Fax: 910-347-5227

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