Gwendolyn Irene Thacker, CNP in Miamisburg, OH

Gwendolyn Irene Thacker, CNP is a medicare enrolled "Nurse Practitioner" in Miamisburg, Ohio. She went to University Of Cincinnati College Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kettering Independent Medical Group Inc and her current practice location is 4000 Miamisburg Centerville Rd, Suite 110, Miamisburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 865-9000.

Gwendolyn Irene Thacker is licensed to practice in Ohio (license number COA.14947-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619302791.

Contact Information

	Gwendolyn Irene Thacker, CNP
	4000 Miamisburg Centerville Rd, Suite 110, Miamisburg, OH 45342-7615
	(937) 865-9000
	(937) 865-9002

Map and Direction

Provider's Profile

Full Name	Gwendolyn Irene Thacker
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	4000 Miamisburg Centerville Rd, Miamisburg, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gwendolyn Irene Thacker attended and graduated from University Of Cincinnati College Of Medicine in 2013

NPI Data:

NPI Number: 1619302791
Provider Enumeration Date: 09/09/2013
Last Update Date: 11/17/2020

Medicare PECOS Information:

PECOS PAC ID: 3779717731
Enrollment ID: I20131004000284

Medical Identifiers

Medical identifiers for Gwendolyn Irene Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619302791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	COA.14947-NP (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kettering Medical Center - Sycamore	Miamisburg, OH	Hospital
Grandview And Southview Hospitals	Dayton, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	586

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. Gwendolyn Irene Thacker allows following entities to bill medicare on her behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Gwendolyn Irene Thacker 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
Gwendolyn Irene Thacker, CNP 4000 Miamisburg Centerville Rd Ste 110, Miamisburg, OH 45342-3674 Ph: (937) 865-9000	Gwendolyn Irene Thacker, CNP 4000 Miamisburg Centerville Rd, Suite 110, Miamisburg, OH 45342-7615 Ph: (937) 865-9000

Reviews and Comments

Nurse Practitioner Nurses in Miamisburg, OH

Holli N Kroger, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-3000
Heather Anne Duehren, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549
Sandra L Kimball, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 415 Byers Rd, Suite 300, Miamisburg, OH 45342 Phone: 937-866-2494 Fax: 937-866-8494
Mr. Seth T Kidwell, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 W Tech Rd, Miamisburg, OH 45342 Phone: 937-641-4000 Fax: 937-641-6492
Sarah E Jacobs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9049 Springboro Pike, Miamisburg, OH 45342 Phone: 937-759-0545 Fax: 937-759-0549
Kristine A Scordo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4000 Miamisburg Centerville Rd, Suite 100, Miamisburg, OH 45342 Phone: 937-643-9939 Fax: 937-643-9949
Mrs. Chelsea L Zastrow, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2115 Leiter Rd Ste 100, Miamisburg, OH 45342 Phone: 937-866-0741

Gwendolyn Irene Thacker, CNP - Medicare Nurse Practitioner in Miamisburg, OH