| Timothy Thacker, CRNA | |
|
2951 Maple Avenue, Zanesville, OH 43701-1406 | |
| (740) 387-6193 | |
| (740) 387-6738 |
| Full Name | Timothy Thacker |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 48 Years |
| Location | 2951 Maple Avenue, Zanesville, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437134376 | NPI | - | NPPES |
| 0852091 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 139495 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | COA.00754-NA (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spine, Llc | 1456503937 | 3 |
| Entity Name | Insight Surgery & Laser Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609076744 PECOS PAC ID: 4082624747 Enrollment ID: O20070620000146 |
| Entity Name | Spine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780987768 PECOS PAC ID: 1456503937 Enrollment ID: O20121207000232 |
| Entity Name | Genesis Anesthesia Providers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295205433 PECOS PAC ID: 0042558066 Enrollment ID: O20190215001836 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Thacker, CRNA 945 Bethesda Drive, 200b, Zanesville, OH 43701-1406 Ph: (740) 455-4937 | Timothy Thacker, CRNA 2951 Maple Avenue, Zanesville, OH 43701-1406 Ph: (740) 387-6193 |
Eleanor Nicolozakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Avenue, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Nanci Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Avenue, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Mary E. Moyer, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-450-3266 | |
Lucas Halliday, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-5000 | |
Kyle Christopher Parks, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-4000 | |
Mr. Joseph Andrew Weisenberger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-4000 | |
Brooke N Gerst, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-5000 |