Annie Thor, CNM is a medicare enrolled "Advanced Practice Midwife" in Stockton, California. Her current practice location is
7210 Murray Dr, Stockton, California. You can reach out to her office (for appointments etc.) via phone at
(209) 373-2800.
Annie Thor is licensed to practice in California (license number 235820) 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 1750831178.
Provider's Profile
Full Name | Annie Thor |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 7210 Murray Dr, Stockton, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750831178
- Provider Enumeration Date: 10/10/2016
- Last Update Date: 12/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577844117
- Enrollment ID: I20161220000289
Medical Identifiers
Medical identifiers for Annie Thor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750831178 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 235820 (California) | Primary |
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. Annie Thor allows following entities to bill medicare on her behalf.
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
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Entity Name | San Joaquin Faculty Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
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Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
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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. Annie Thor 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 |
Annie Thor, CNM 7210 Murray Dr, Stockton, CA 95210-3339 Ph: (209) 373-2800 | Annie Thor, CNM 7210 Murray Dr, Stockton, CA 95210-3339 Ph: (209) 373-2800 |
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