Kelly Thalacker, in Easton, PA - Medicare Nurse Practitioner

Kelly Thalacker, is a medicare enrolled "Nurse Practitioner - Gerontology" in Easton, Pennsylvania. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Luke's Physician Group Inc, St Lukes Warren Physician Group Pc and her current practice location is 41 Corporate Dr # 101, Easton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 559-9330.

Kelly Thalacker is licensed to practice in Pennsylvania (license number SP020519) 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 1184263451.

Contact Information

	Kelly Thalacker,
	41 Corporate Dr # 101, Easton, PA 18045-2670
	(610) 559-9330
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Thalacker
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	41 Corporate Dr # 101, Easton, Pennsylvania
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:

Kelly Thalacker graduated from nursing school in 2019

NPI Data:

NPI Number: 1184263451
Provider Enumeration Date: 01/03/2020
Last Update Date: 04/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5294162087
Enrollment ID: I20200217000397

Medical Identifiers

Medical identifiers for Kelly Thalacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184263451	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP020519 (Pennsylvania)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	SP020519 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Luke's Hospital - Anderson Campus	Easton, PA	Hospital
St Luke's Hospital - Easton Campus	Easton, PA	Hospital
St Luke's Warren Hospital	Phillipsburg, NJ	Hospital
St Luke's Hospital Bethlehem	Bethlehem, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Luke's Physician Group Inc	6709798333	1739
St Lukes Warren Physician Group Pc	9739093675	314

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. Kelly Thalacker allows following entities to bill medicare on her behalf.

Entity Name	Family Care Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669563037 PECOS PAC ID: 5395649347 Enrollment ID: O20031121000497

Entity Name	St Lukes Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062

Entity Name	Twin Rivers Gastroenterology Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154543486 PECOS PAC ID: 4880589100 Enrollment ID: O20040406000857

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. Kelly Thalacker 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
Kelly Thalacker, 1605 N Cedar Crest Blvd Ste 411, Allentown, PA 18104-2323 Ph: (610) 969-1915	Kelly Thalacker, 41 Corporate Dr # 101, Easton, PA 18045-2670 Ph: (610) 559-9330

Reviews and Comments

Nurse Practitioner Nurses in Easton, PA

Jamila Gummo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2884 Hodle Ave, Easton, PA 18045 Phone: 161-078-1981
Nichole Padron, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 N 3rd St, 2nd Floor, Easton, PA 18042 Phone: 484-503-8010
Amanda Alicia Johns, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3701 Corriere Rd Ste 10, Easton, PA 18045 Phone: 484-591-7205
Brooke H Kunsman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 Hay Ter, Easton, PA 18042 Phone: 610-252-2045
Tracey Marie Shivok-jefferson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2125 Fairview Ave, Easton, PA 18042 Phone: 610-419-0123
Catherine M Myers, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 498 Washington St, Easton, PA 18042 Phone: 610-258-2985
Alexander Ayres Mearhoff-nickum, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1872 St Lukes Blvd, Easton, PA 18045 Phone: 484-526-6643 Fax: 484-526-4658

Kelly Thalacker, - Medicare Nurse Practitioner in Easton, PA