Subject Numbers Regarding Health Provider Authorizations

Authorization No. 288000-3B

January 17, 2019

Please be advised that Dr. Willie Edward Thompson has resigned his authorizations to treat injured workers and to perform independent medical examinations in the New York State workers' compensation system effective January 4, 2019. Dr. Thompson's last known practice addresses are:

421 Ocean Parkway, 1st Floor
Brooklyn, New York 11218

and

2044 Ocean Avenue, Suite A-1
Brooklyn, New York 11230

Dr. Thompson is prohibited from rendering treatment and care to injured workers, from performing independent medical examinations, and from conducting reviews of records regarding variance requests pursuant to 12 NYCRR § 324.3(b)(2)(ii)(a). Reports submitted by Dr. Thompson for services rendered prior to January 4, 2019, are valid, but are invalid for any services rendered on or after that date. Requests to cross-examine Dr. Thompson for services rendered prior to January 4, 2019, should not be denied due to the resignation of his authorizations.

Any questions regarding the authorized lists should be referred to the Medical Director's Office at 1 (800) 781-2362.