Dr Tamara Idette Thorn, DMSC DSW LCSW, PA-C is a medicare enrolled "Physician Assistant" provider in Savannah, Georgia. Her current practice location is
635 Stephenson Ave, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 352-2921.
Dr Tamara Idette Thorn is licensed to practice in Georgia (license number 5697) 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 1548320823.
Healthcare Provider's Profile
| Full Name | Dr Tamara Idette Thorn |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 635 Stephenson Ave, Savannah, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548320823
- Provider Enumeration Date: 12/09/2006
- Last Update Date: 11/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 2961421474
- Enrollment ID: I20100430000554
Medical Identifiers
Medical identifiers for Dr Tamara Idette Thorn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548320823 | NPI | - | NPPES |
| CSW004234 | Other | GA | LCSW |
| C004844 | Other | NC | LCSW |
| 6003179 | Medicaid | NC | |
| 0010-05760 | Other | NC | PA |
| 5697 | Other | GA | PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 8654 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | (North Carolina) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5697 (Georgia) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 5697 (Georgia) | Primary |
| 1041C0700X | Social Worker - Clinical | C004844 (North Carolina) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW004234 (Georgia) | Secondary |
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. Dr Tamara Idette Thorn 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 |
|---|
Dr Tamara Idette Thorn, DMSC DSW LCSW, PA-C
Po Box 2687,
Richmond Hill, GA 31324-2687
Ph: (704) 898-7837 | Dr Tamara Idette Thorn, DMSC DSW LCSW, PA-C
635 Stephenson Ave,
Savannah, GA 31405-5970
Ph: (912) 352-2921 |
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