Michelle Macey Thacker, NP-C in Lawrenceville, IL

Michelle Macey Thacker, NP-C is a medicare enrolled "Nurse Practitioner" in Lawrenceville, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Deaconess Clinic Inc, Lawrence County Memorial Hospital and her current practice location is 2111 Lexington Ave, Lawrenceville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 943-7214.

Michelle Macey Thacker is licensed to practice in Indiana (license number 71010904A) 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 1073003588.

Contact Information

	Michelle Macey Thacker, NP-C
	2111 Lexington Ave, Lawrenceville, IL 62439
	(618) 943-7214
	Not Available

Map and Direction

Provider's Profile

Full Name	Michelle Macey Thacker
Gender	Female
Speciality	Nurse Practitioner
Experience	6 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.

Medical Education and Training:

Michelle Macey Thacker graduated from nursing school in 2018

NPI Data:

NPI Number: 1073003588
Provider Enumeration Date: 05/10/2018
Last Update Date: 04/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7113272121
Enrollment ID: I20230222000327

Medical Identifiers

Medical identifiers for Michelle Macey Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073003588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209017621 (Illinois)	Secondary
363L00000X	Nurse Practitioner	71010904A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence County Memorial Hospital	Lawrenceville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Deaconess Clinic Inc	3375610116	337
Lawrence County Memorial Hospital	7517144249	18

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. Michelle Macey Thacker allows following entities to bill medicare on her behalf.

Entity Name	Deaconess Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145

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. Michelle Macey 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
Michelle Macey Thacker, NP-C 2111 Lexington Ave, Lawrenceville, IL 62439 Ph: () -	Michelle Macey Thacker, NP-C 2111 Lexington Ave, Lawrenceville, IL 62439 Ph: (618) 943-7214

Reviews and Comments

Nurse Practitioner Nurses in Lawrenceville, IL

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: Not Enrolled in Medicare 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
Mrs. Bonnie J Cross, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Rr #3 Box 414, Lawrenceville, IL 62439 Phone: 618-943-2609 Fax: 618-943-6409
Mrs. Kimothy Ann Fulk, APN NP C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11020 State Route 250, Lawrenceville, IL 62439 Phone: 618-943-2609 Fax: 618-943-6409

Michelle Macey Thacker, NP-C - Medicare Nurse Practitioner in Lawrenceville, IL