Kristine Marie Thackrey, LISW, LICDC in Lima, OH - Medicare Clinical Social Worker Provider

Kristine Marie Thackrey, LISW, LICDC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Lima, Ohio. She graduated from healthcare school in 1990 and has 35 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Dakota Professional Corp and her current practice location is 3611 S Dixie Hwy, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 999-2024.

Kristine Marie Thackrey is licensed to practice in Ohio (license number 933608) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497819916.

Contact Information

	Kristine Marie Thackrey, LISW, LICDC
	3611 S Dixie Hwy, Lima, OH 45804-3750
	(419) 999-2024
	(419) 999-2024

Map and Direction

Healthcare Provider's Profile

Full Name	Kristine Marie Thackrey
Gender	Female
Speciality	Clinical Social Worker
Experience	35 Years
Location	3611 S Dixie Hwy, Lima, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristine Marie Thackrey graduated from medical school in 1990

NPI Data:

NPI Number: 1497819916
Provider Enumeration Date: 12/20/2006
Last Update Date: 09/11/2025

Medicare PECOS Information:

PECOS PAC ID: 8426152513
Enrollment ID: I20070329000374

Medical Identifiers

Medical identifiers for Kristine Marie Thackrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497819916	NPI	-	NPPES
000000352379	Other	OH	ANTHEM BLUE CROSS AND BLU

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	933608 (Ohio)	Primary
1041C0700X	Social Worker - Clinical	I5522 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dakota Professional Corp	6800810904	2

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. Kristine Marie Thackrey allows following entities to bill medicare on her behalf.

Entity Name	Dakota Professional Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083667828 PECOS PAC ID: 6800810904 Enrollment ID: O20060117000171

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. Kristine Marie Thackrey 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
Kristine Marie Thackrey, LISW, LICDC 3611 S Dixie Hwy, Lima, OH 45804-3750 Ph: (419) 999-2024	Kristine Marie Thackrey, LISW, LICDC 3611 S Dixie Hwy, Lima, OH 45804-3750 Ph: (419) 999-2024

Reviews and Comments

Counselor in Lima, OH

Ivan L Ballard, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 E Market St, Lima, OH 45801 Phone: 419-222-4474
Elisa K Bradley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2963 Blue Jacket Ct, Lima, OH 45806 Phone: 567-825-1192
Mr. Kevin Edward Bowden, LCDC 3 Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 567-242-6072
William Keith I, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 799 S Main St, Lima, OH 45804 Phone: 419-229-2222
Amy S Brewster, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 513-834-7063
Philip B Langsdon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1505 N Cole St, Lima, OH 45801 Phone: 833-510-4357 Fax: 866-460-2997
Jasper Person Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 319 W Market St, Lima, OH 45801 Phone: 614-893-0408

Kristine Marie Thackrey, LISW, LICDC - Medicare Counselor in Lima, OH