Courtney Bryce Thayer, is a medicare enrolled "Nurse Practitioner - Family" in Burkburnett, Texas. Her current practice location is
602 Mimosa St, Burkburnett, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 224-3610.
Courtney Bryce Thayer is licensed to practice in Texas (license number 1185946) 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 1417767302.
Provider's Profile
| Full Name | Courtney Bryce Thayer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 602 Mimosa St, Burkburnett, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417767302
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204358989
- Enrollment ID: I20250323000032
Medical Identifiers
Medical identifiers for Courtney Bryce Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417767302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1185946 (Texas) | 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. Courtney Bryce Thayer allows following entities to bill medicare on her behalf.
| Entity Name | Wound Navigator Consulting Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255196085
PECOS PAC ID: 4284074329
Enrollment ID: O20240506004083 |
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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. Courtney Bryce Thayer 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 |
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Courtney Bryce Thayer,
602 Mimosa St,
Burkburnett, TX 76354-2350
Ph: (940) 224-3610 | Courtney Bryce Thayer,
602 Mimosa St,
Burkburnett, TX 76354-2350
Ph: (940) 224-3610 |
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