Bruce Wm Thackrey, DMD in Mount Vernon, IL

Bruce Wm Thackrey, DMD is a medicare enrolled "Dentist - General Practice" provider in Mount Vernon, Illinois. His current practice location is 1704 Jefferson Ave, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 244-2440.

Bruce Wm Thackrey is licensed to practice in Illinois (license number 19A15719) 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 1518914340.

Contact Information

	Bruce Wm Thackrey, DMD
	1704 Jefferson Ave, Mount Vernon, IL 62864-4331
	(618) 244-2440
	(618) 244-0607

Map and Direction

Healthcare Provider's Profile

Full Name	Bruce Wm Thackrey
Gender	Male
Speciality	Dentist - General Practice
Location	1704 Jefferson Ave, Mount Vernon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518914340
Provider Enumeration Date: 05/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0143534644
Enrollment ID: I20150728005145

Medical Identifiers

Medical identifiers for Bruce Wm Thackrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518914340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	19A15719 (Illinois)	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. Bruce Wm 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
Bruce Wm Thackrey, DMD 1704 Jefferson Ave, Mount Vernon, IL 62864-4331 Ph: (618) 244-2440	Bruce Wm Thackrey, DMD 1704 Jefferson Ave, Mount Vernon, IL 62864-4331 Ph: (618) 244-2440

Reviews and Comments

Dentist in Mount Vernon, IL

Alan D. Willis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1915 Broadway St, Mount Vernon, IL 62864 Phone: 618-242-5600
Dr. Tyson Wayne Tinsley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4214 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-244-6912 Fax: 618-244-7540
Dr. Michael Wesley Neal, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 3 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-242-5054
Dr. Arthur Edward Ronat, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1720 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-3535 Fax: 628-244-4342
Dr. Michael R Hiner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1704 Jefferson Ave, Mount Vernon, IL 62864 Phone: 618-244-2440 Fax: 618-244-0607
Dr. Kathleen S Renner, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 4201 Williamson Pl, Mount Vernon, IL 62864 Phone: 618-244-5120
Dr. Roger Blair Woodrome, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4214 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-244-6912 Fax: 618-244-7540

Bruce Wm Thackrey, DMD - Medicare Dentist in Mount Vernon, IL