Ty D Thornock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Shawano, WI

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Ty D Thornock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shawano, Wisconsin. He graduated from nursing school in 1998 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Association Of Hospital Anesthesiologists Sc and his current practice location is 100 County Road B, Shawano, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 524-2161.

Ty D Thornock is licensed to practice in Wisconsin (license number 2685-033) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720098197.

Contact Information

Ty D Thornock, CRNA
100 County Road B,
Shawano, WI 54166-7072
(715) 524-2161
Not Available

Map and Direction




Provider's Profile

Full NameTy D Thornock
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience27 Years
Location100 County Road B, Shawano, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ty D Thornock graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1720098197
  • Provider Enumeration Date: 08/09/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5698675379
  • Enrollment ID: I20040109000675

Medical Identifiers

Medical identifiers for Ty D Thornock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720098197NPI-NPPES
43382500MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2685-033 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Medical Center - ShawanoShawano, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Association Of Hospital Anesthesiologists Sc347653987579

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. Ty D Thornock allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThedacare Medical Center - New London, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20040311000254
Entity NameAssociation Of Hospital Anesthesiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720076474
PECOS PAC ID: 3476539875
Enrollment ID: O20050719001050
Entity NameGastrointestinal Associates S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760546949
PECOS PAC ID: 4385677814
Enrollment ID: O20050915000417

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. Ty D Thornock 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
Ty D Thornock, CRNA
122 E College Ave,
Appleton, WI 54911-5794

Ph: (920) 996-3264		Ty D Thornock, CRNA
100 County Road B,
Shawano, WI 54166-7072

Ph: (715) 524-2161

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Shawano, WI

Cortny A Rector, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-526-2111    
John E Schreiner, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    
Thomas L Olmsted, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    
John D Scharine, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 100 County Road B, Shawano, WI 54166
Phone: 715-524-2161    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.