| Patrick D. Thrasher, M.d. Pc | |
|
555 E Main St Ste 801 Norfolk VA 23510-2232 | |
| (757) 455-5655 | |
| (757) 455-5644 |
| Full Name | Patrick D. Thrasher, M.d. Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 E Main St Ste 801, Norfolk, Virginia |
| Authorized Official Name and Position | Patrick Donnally Thrasher (PRESIDENT/OWNER) |
| Authorized Official Contact | 7574555655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick D. Thrasher, M.d. Pc 555 E Main St Ste 801 Norfolk VA 23510-2232 Ph: (757) 455-5655 | Patrick D. Thrasher, M.d. Pc 555 E Main St Ste 801 Norfolk VA 23510-2232 Ph: (757) 455-5655 |
| NPI Number | 1821252834 |
|---|---|
| Provider Enumeration Date | 07/18/2008 |
| Last Update Date | 10/03/2020 |
| Certification Date | 10/03/2020 |
| Medicare PECOS PAC ID | 2365599115 |
|---|---|
| Medicare Enrollment ID | O20090413000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821252834 | NPI | - | NPPES |
| 0101029776 | Other | VA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101029776 (Virginia) | Primary |
| Provider Name | Patrick D Thrasher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437252962 PECOS PAC ID: 5395808778 Enrollment ID: I20090112000271 |
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