Kristen Leigh Thacker, is a
Registered Nurse - Addiction (substance Use Disorder) based in Ironton, Ohio. Kristen Leigh Thacker is licensed to practice in Ohio (license number RN.482139) and her current practice location is
117 N 4th St, Ironton, Ohio. She can be reached at her office (for appointments etc.) via phone at
(740) 237-4981.
NPI number for Kristen Leigh Thacker is 1316536063 and her current mailing address is 117 N 4th St, Ironton, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316536063.
Healthcare Provider's Profile
| Full Name | Kristen Leigh Thacker |
|---|
| Gender | Female |
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| Speciality | Registered Nurse - Addiction (substance Use Disorder) |
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| Location | 117 N 4th St, Ironton, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316536063
- Provider Enumeration Date: 01/15/2021
- Last Update Date: 11/08/2022
Medical Identifiers
Medical identifiers for Kristen Leigh Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316536063 | NPI | - | NPPES |
| RN.482139 | Other | OH | OHIO NURSING |
| 0430382 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.162430 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.174239 (Ohio) | Secondary |
| 163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | RN.482139 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | CMS (* (Not Available)) | Secondary |
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | RN.482139 (Ohio) | Primary |
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. Kristen Leigh Thacker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristen Leigh Thacker,
117 N 4th St,
Ironton, OH 45638-1403
Ph: (740) 237-4981 | Kristen Leigh Thacker,
117 N 4th St,
Ironton, OH 45638-1403
Ph: (740) 237-4981 |
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