Mr Adrian Scott Thacker, FNP-C in Duffield, VA

Mr Adrian Scott Thacker, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Duffield, Virginia. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Revida Recovery Centers Pc, Revida Recovery Centers Pc and his current practice location is 198 Ross Carter Blvd, Duffield, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 690-7161.

Mr Adrian Scott Thacker is licensed to practice in Virginia (license number 0024173601) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1831548247.

Contact Information

	Mr Adrian Scott Thacker, FNP-C
	198 Ross Carter Blvd, Duffield, VA 24244-5117
	(276) 690-7161
	(276) 690-7246

Map and Direction

Provider's Profile

Full Name	Mr Adrian Scott Thacker
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	198 Ross Carter Blvd, Duffield, Virginia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Adrian Scott Thacker graduated from nursing school in 2015

NPI Data:

NPI Number: 1831548247
Provider Enumeration Date: 06/07/2016
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9436414422
Enrollment ID: I20180522000976

Medical Identifiers

Medical identifiers for Mr Adrian Scott Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831548247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024173601 (Virginia)	Primary
163WA0400X	Registered Nurse - Addiction (substance Use Disorder)	0024173601 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revida Recovery Centers Pc	1153657473	31
Revida Recovery Centers Pc	1153657473	31

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. Mr Adrian Scott Thacker allows following entities to bill medicare on his behalf.

Entity Name	Revida Recovery Centers Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013483486 PECOS PAC ID: 1153657473 Enrollment ID: O20190904001928

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. Mr Adrian Scott 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
Mr Adrian Scott Thacker, FNP-C Po Box 2582, Wise, VA 24293-2582 Ph: (276) 796-4411	Mr Adrian Scott Thacker, FNP-C 198 Ross Carter Blvd, Duffield, VA 24244-5117 Ph: (276) 690-7161

Reviews and Comments

Nurse Practitioner Nurses in Duffield, VA

Lauren Elizabeth Setler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 Kadin Hill Dr, Duffield, VA 24244 Phone: 276-870-4888
Willie Hamilton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Jackie Lynne Craft, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 373 Cecil D Quillen Dr Ste 101, 373 Cecil D. Quillen Drive Suite 101, Duffield, VA 24244 Phone: 276-431-1638
Johnny R Shupe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244 Phone: 276-431-1638 Fax: 276-431-1639
Cynthia Renee Taylor, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 198 Ross Carter Blvd, Duffield, VA 24244 Phone: 276-690-7161 Fax: 276-690-7246
Regina G Simpson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Advanced Technology Dr, Duffield, VA 24244 Phone: 276-431-2648

Mr Adrian Scott Thacker, FNP-C - Medicare Nurse Practitioner in Duffield, VA