Cory L Thacker, LPC in Nampa, ID - Medicare Counselor Provider

Cory L Thacker, LPC is a medicare enrolled "Counselor - Mental Health" provider in Nampa, Idaho. His current practice location is 220 10th Ave S, Nampa, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 468-0850.

Cory L Thacker is licensed to practice in Idaho (license number 9457) 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 1174265664.

Contact Information

	Cory L Thacker, LPC
	220 10th Ave S, Nampa, ID 83651-3832
	(208) 468-0850
	(208) 468-0851

Map and Direction

Healthcare Provider's Profile

Full Name	Cory L Thacker
Gender	Male
Speciality	Counselor - Mental Health
Location	220 10th Ave S, Nampa, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174265664
Provider Enumeration Date: 04/13/2022
Last Update Date: 04/10/2023

Medicare PECOS Information:

PECOS PAC ID: 1052852068
Enrollment ID: I20240918001089

Medical Identifiers

Medical identifiers for Cory L Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174265664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	9457 (Idaho)	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. Cory L Thacker allows following entities to bill medicare on his behalf.

Entity Name	Allied Mental Health Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104011337 PECOS PAC ID: 9234670241 Enrollment ID: O20240918000957

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. Cory L 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
Cory L Thacker, LPC 220 10th Ave S, Nampa, ID 83651-3832 Ph: () -	Cory L Thacker, LPC 220 10th Ave S, Nampa, ID 83651-3832 Ph: (208) 468-0850

Reviews and Comments

Counselor in Nampa, ID

Christy Noel Meyer-heinzman, MFT INTERN ASSOCIATE Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 10th Ave S, Nampa, ID 83651 Phone: 208-468-0850
Lara Leigh Vick-erickson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1009 W Hemingway Blvd, Nampa, ID 83651 Phone: 208-453-8915
Breonna V Krafft-harris, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 911 11th Ave S, Nampa, ID 83651 Phone: 208-371-9090
Jacqueline W Sabo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Wildflower Counseling, Llc, 104 9th Ave S Ste B2, Nampa, ID 83651 Phone: 208-993-0559
Rebekkah Anne Brown, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1031 W Sanetta St, Nampa, ID 83651 Phone: 208-466-7443
Amber Miller, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 16th Ave N, Nampa, ID 83687 Phone: 208-466-7869 Fax: 208-318-1391
Kimberly Opal Ledwa, LCPC, ACADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17678 Dark Zebra Way, Nampa, ID 83687 Phone: 208-880-3785

Cory L Thacker, LPC - Medicare Counselor in Nampa, ID