Kristine Marie Thackrey, LISW, LICDC is a medicare enrolled "Social Worker - Clinical" provider in Lima, Ohio. Her current practice location is
3611 S Dixie Hwy, Lima, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 999-2024.
Kristine Marie Thackrey is licensed to practice in Ohio (license number I5522) 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 1497819916.
Healthcare Provider's Profile
| Full Name | Kristine Marie Thackrey |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 3611 S Dixie Hwy, Lima, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristine Marie Thackrey attended and graduated from in
NPI Data:
- NPI Number: 1497819916
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kristine Marie Thackrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497819916 | NPI | - | NPPES |
| 000000352379 | Other | OH | ANTHEM BLUE CROSS AND BLU |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 933608 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | I5522 (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. Kristine Marie Thackrey 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 |
|---|
Kristine Marie Thackrey, LISW, LICDC
3611 S Dixie Hwy,
Lima, OH 45804-3750
Ph: (419) 999-2024 | Kristine Marie Thackrey, LISW, LICDC
3611 S Dixie Hwy,
Lima, OH 45804-3750
Ph: (419) 999-2024 |
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