Kristie J Thacker, MS, CCC-A is a medicare enrolled "Audiologist" provider in Portsmouth, Ohio. She went to University Of Louisville School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Somc Medical Care Foundation, Inc. and her current practice location is
1711 27th St, Braunlin Building, Suite 403, Portsmouth, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 353-7881.
Kristie J Thacker is licensed to practice in Ohio (license number A-01284) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780820597.
Healthcare Provider's Profile
| Full Name | Kristie J Thacker |
|---|
| Gender | Female |
|---|
| Speciality | Qualified Audiologist |
|---|
| Experience | 25 Years |
|---|
| Location | 1711 27th St, Portsmouth, Ohio |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Kristie J Thacker attended and graduated from University Of Louisville School Of Medicine in 1999
NPI Data:
- NPI Number: 1780820597
- Provider Enumeration Date: 12/29/2008
- Last Update Date: 12/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 0143387639
- Enrollment ID: I20090327000343
Medical Identifiers
Medical identifiers for Kristie J Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780820597 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | A-01284 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
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. Kristie J Thacker allows following entities to bill medicare on her behalf.
| Provider Name | Somc Medical Care Foundation, Inc. |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203 |
|---|
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. Kristie J 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 |
|---|
Kristie J Thacker, MS, CCC-A
1735 27th St, Waller Building, Suite B06,
Portsmouth, OH 45662-2677
Ph: (740) 356-8008 | Kristie J Thacker, MS, CCC-A
1711 27th St, Braunlin Building, Suite 403,
Portsmouth, OH 45662-2654
Ph: (740) 353-7881 |
Reviews and Comments