Jaclynn Marie Thacker, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in English, Indiana. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Indiana Community Health Care Inc and her current practice location is
307 S Indiana Ave, English, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 338-2924.
Jaclynn Marie Thacker is licensed to practice in Indiana (license number 71011761A) 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 1073283362.
Provider's Profile
Full Name | Jaclynn Marie Thacker |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 3 Years |
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Location | 307 S Indiana Ave, English, Indiana |
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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:
- Jaclynn Marie Thacker graduated from nursing school in 2021
NPI Data:
- NPI Number: 1073283362
- Provider Enumeration Date: 09/17/2021
- Last Update Date: 11/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618366576
- Enrollment ID: I20211115001292
Medical Identifiers
Medical identifiers for Jaclynn Marie Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073283362 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 71000761A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71011761A (Indiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Indiana Community Health Care Inc | 5799694360 | 19 |
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. Jaclynn Marie Thacker allows following entities to bill medicare on her behalf.
Entity Name | Southern Indiana Community Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541 |
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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. Jaclynn Marie 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 |
Jaclynn Marie Thacker, APRN, NP-C 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944 | Jaclynn Marie Thacker, APRN, NP-C 307 S Indiana Ave, English, IN 47118-5851 Ph: (812) 338-2924 |
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