| Michelle Macey Thacker, NP-C | |
|
2111 Lexington Ave, Lawrenceville, IL 62439 | |
| (618) 943-7214 | |
| Not Available |
| Full Name | Michelle Macey Thacker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 2111 Lexington Ave, Lawrenceville, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073003588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209017621 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 71010904A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wabash General Hospital District | 8022908185 | 77 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Macey Thacker, NP-C 2111 Lexington Ave, Lawrenceville, IL 62439 Ph: Not Available | Michelle Macey Thacker, NP-C 2111 Lexington Ave, Lawrenceville, IL 62439 Ph: (618) 943-7214 |
Danielle Deisher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 Fax: 618-943-6409 |
Reiley Eryn Michels, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214 |
Mary Mccarter, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 James Street, Lawrenceville, IL 62439 Phone: 618-943-3302 Fax: 618-943-7589 |
Tracy R Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-942-7214 |
Emma Ray Engel, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11741 Sizemore Ln, Lawrenceville, IL 62439 Phone: 812-881-5468 |
Kourtney Benson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 Trim Masters Drive, Lawrenceville, IL 62439 Phone: 618-943-7900 Fax: 618-943-7901 |
Mrs. Tanna Lynn Mccullough, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7216 Fax: 618-943-7219 |