Kelsey Marie Thacker, in Mt Zion, IL - Medicare Nurse Practitioner

Kelsey Marie Thacker, is a medicare enrolled "Nurse Practitioner" in Mt Zion, Illinois. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Decatur Orthopedic Center Llc and her current practice location is 104 E Ashland Ave, Mt Zion, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 864-2665.

Kelsey Marie Thacker is licensed to practice in Illinois (license number 209015926) 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 1245765296.

Contact Information

	Kelsey Marie Thacker,
	104 E Ashland Ave, Mt Zion, IL 62549-1271
	(217) 864-2665
	(217) 864-8042

Map and Direction

Provider's Profile

Full Name	Kelsey Marie Thacker
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	104 E Ashland Ave, Mt Zion, Illinois
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:

Kelsey Marie Thacker graduated from nursing school in 2016

NPI Data:

NPI Number: 1245765296
Provider Enumeration Date: 04/27/2017
Last Update Date: 04/27/2017

Medicare PECOS Information:

PECOS PAC ID: 6002183381
Enrollment ID: I20170517002865

Medical Identifiers

Medical identifiers for Kelsey Marie Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245765296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209015926 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital
St Marys Hospital	Decatur, IL	Hospital
Pana Community Hospital	Pana, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Decatur Orthopedic Center Llc	4981844289	9

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. Kelsey Marie Thacker allows following entities to bill medicare on her behalf.

Entity Name	Pana Community Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942326970 PECOS PAC ID: 3274437348 Enrollment ID: O20031121000350

Entity Name	Kirby Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320

Entity Name	Decatur Orthopedic Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336586114 PECOS PAC ID: 4981844289 Enrollment ID: O20130710000446

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. Kelsey 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
Kelsey Marie Thacker, 104 Ashland Avenue, Mt. Zion, IL 62549 Ph: (217) 864-2665	Kelsey Marie Thacker, 104 E Ashland Ave, Mt Zion, IL 62549-1271 Ph: (217) 864-2665

Reviews and Comments

Nurse Practitioner Nurses in Mt Zion, IL

Julia K Auton, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 N State Highway 121, Mt Zion, IL 62549 Phone: 217-864-5531 Fax: 217-864-2449
Katelyn Keller, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1410 E Village Pkwy, Mt Zion, IL 62549 Phone: 217-855-7447
Kim Miller, APN/CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 N State Highway 121, Mt Zion, IL 62549 Phone: 217-864-5531 Fax: 217-864-2449
Maddison Rae Maxedon, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 E Ashland Ave, Mt Zion, IL 62549 Phone: 217-864-2665
Joseph Thomas Meyers, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 E Ashland Ave, Mt Zion, IL 62549 Phone: 217-864-2665
Jenna Nicole Stowers, APRN-FPA, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Lewis Park Dr, Mt Zion, IL 62549 Phone: 217-855-7447 Fax: 888-774-7504

Kelsey Marie Thacker, - Medicare Nurse Practitioner in Mt Zion, IL