Taylor Nicole Thompson, PA-C - Medicare Physician Assistant in Philadelphia, PA

Taylor Nicole Thompson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Philadelphia, Pennsylvania. Her current practice location is 5501 Old York Rd, Korman Building Suite 202, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 254-2630.

Taylor Nicole Thompson is licensed to practice in Pennsylvania (license number MA057550) 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 1003220062.

Contact Information

Taylor Nicole Thompson, PA-C
5501 Old York Rd, Korman Building Suite 202,
Philadelphia, PA 19141-3018
(215) 254-2630
Not Available



Provider's Profile

Full NameTaylor Nicole Thompson
GenderFemale
SpecialityPhysician Assistant - Medical
Location5501 Old York Rd, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003220062
  • Provider Enumeration Date: 06/18/2014
  • Last Update Date: 07/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2365764461
  • Enrollment ID: I20150728006272

Medical Identifiers

Medical identifiers for Taylor Nicole Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003220062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PAT0063 (Massachusetts)Secondary
363AM0700XPhysician Assistant - Medical MA057550 (Pennsylvania)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. Taylor Nicole 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
Taylor Nicole Thompson, PA-C
5501 Old York Rd,
Philadelphia, PA 19141-3018

Ph: (215) 254-2630
Taylor Nicole Thompson, PA-C
5501 Old York Rd, Korman Building Suite 202,
Philadelphia, PA 19141-3018

Ph: (215) 254-2630

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Physician Assistant Nurses in Philadelphia, PA

Leah M Lopez, PA-C
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Medicare: Accepting Medicare Assignments
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Phone: 215-662-7870    
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Phone: 267-885-8391    
Emily Penn, PA-C
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Phone: 864-873-7639    
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Medicare: Not Enrolled in Medicare
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Phone: 215-206-9392    
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Medicare: Not Enrolled in Medicare
Practice Location: 561 Hawthorne Ave, Philadelphia, PA 19128
Phone: 215-487-4000    
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Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104
Phone: 215-662-2050    

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