Mr Jerrick Thacker, MSN APRN FNP-C in Victorville, CA

Mr Jerrick Thacker, MSN APRN FNP-C is a medicare enrolled "Nurse Practitioner" in Victorville, California. His current practice location is 13024 Hesperia Rd, Victorville, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-3547.

Mr Jerrick Thacker is licensed to practice in California (license number 95020352) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275275307.

Contact Information

	Mr Jerrick Thacker, MSN APRN FNP-C
	13024 Hesperia Rd, Victorville, CA 92395-8302
	(760) 241-3547
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jerrick Thacker
Gender	Male
Speciality	Nurse Practitioner
Location	13024 Hesperia Rd, Victorville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275275307
Provider Enumeration Date: 04/09/2022
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 6002292687
Enrollment ID: I20221005001614

Medical Identifiers

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

Identifier	Type	State	Issuer
1275275307	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95020352 (California)	Primary

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 Jerrick Thacker allows following entities to bill medicare on his behalf.

Entity Name	Ramin Ashtiani, Md A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538324645 PECOS PAC ID: 1153480991 Enrollment ID: O20081107000309

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 Jerrick 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 Jerrick Thacker, MSN APRN FNP-C 13024 Hesperia Rd. Suit 103, Victorville, CA 92395 Ph: (760) 241-3547	Mr Jerrick Thacker, MSN APRN FNP-C 13024 Hesperia Rd, Victorville, CA 92395-8302 Ph: (760) 241-3547

Reviews and Comments

Nurse Practitioner Nurses in Victorville, CA

Bukola Gross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911
Krystle Ann Guzman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000
Beth Ann Johnson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12830 Hesperia Rd, Suite C-d-e, Victorville, CA 92395 Phone: 760-684-8999
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000

Mr Jerrick Thacker, MSN APRN FNP-C - Medicare Nurse Practitioner in Victorville, CA