| Jacob Bryce Thatcher, DO | |
|
1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | |
| (856) 566-6946 | |
| Not Available |
| Full Name | Jacob Bryce Thatcher |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 6 Years |
| Location | 1 Medical Center Dr Ste 162, Stratford, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992263438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MSO0262 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health Of Eastern Idaho | Idaho falls, ID | Home health agency |
| Mountain View Hospital | Idaho falls, ID | Hospital |
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Idaho Falls Community Hospital, Llc | Idaho falls, ID | Hospital |
| Eastern Idaho Regional Medical Center | Idaho falls, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain View Hospital Llc | 4486562774 | 248 |
| Entity Name | Mountain View Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Bryce Thatcher, DO 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 Ph: (856) 566-6946 | Jacob Bryce Thatcher, DO 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 Ph: (856) 566-6946 |
Young Son, DO Urology Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr Ste 162, Stratford, NJ 08084 Phone: 856-566-2742 | |
Benjamin Alexander Fink, DO Urology Medicare: Not Enrolled in Medicare Practice Location: 18 E Laurel Rd, Stratford, NJ 08084 Phone: 609-206-4068 |