Mr Jerrick Thacker, MSN APRN FNP-C - Medicare Nurse Practitioner 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 NameMr Jerrick Thacker
GenderMale
SpecialityNurse Practitioner
Location13024 Hesperia Rd, Victorville, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1275275307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse 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 NameRamin Ashtiani, Md A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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 Frazier,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395
Phone: 760-241-8000    
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    
Cindy Alvarez,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11857 Elliot Way, Victorville, CA 92392
Phone: 818-400-5438    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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