Dr Amber Thacker, MD in Memphis, TN - Medicare Pediatric Medicine

Dr Amber Thacker, MD is a medicare enrolled "Hospitalist" physician in Memphis, Tennessee. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Ut Regional One Physicians Inc and her current practice location is 877 Jefferson Ave, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 545-7100.

Dr Amber Thacker is licensed to practice in Tennessee (license number 57503) 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 1770903882.

Contact Information

	Dr Amber Thacker, MD
	877 Jefferson Ave, Memphis, TN 38103-2807
	(901) 545-7100
	(901) 545-8996

Map and Direction

Physician's Profile

Full Name	Dr Amber Thacker
Gender	Female
Speciality	Pediatric Medicine
Experience	10 Years
Location	877 Jefferson Ave, Memphis, Tennessee
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:

Dr Amber Thacker graduated from medical school in 2014

NPI Data:

NPI Number: 1770903882
Provider Enumeration Date: 04/16/2014
Last Update Date: 02/11/2020

Medicare PECOS Information:

PECOS PAC ID: 5991056319
Enrollment ID: I20180925001780

Medical Identifiers

Medical identifiers for Dr Amber Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770903882	NPI	-	NPPES
00002511	Medicaid	MS
230368001	Medicaid	AR
1770903882	Medicaid	MO
Q037020	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	57503 (Tennessee)	Secondary
208000000X	Pediatrics	57503 (Tennessee)	Secondary
208M00000X	Hospitalist	57503 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Regional One Health	Memphis, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ut Regional One Physicians Inc	5698993418	277

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. Dr Amber Thacker allows following entities to bill medicare on her behalf.

Entity Name	Ut Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780676650 PECOS PAC ID: 3173435369 Enrollment ID: O20031105000384

Entity Name	Ut Regional One Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662

Entity Name	St Jude Childrens Research Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139

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. Dr Amber 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
Dr Amber Thacker, MD 1407 Union Ave Ste 700, Memphis, TN 38104-3641 Ph: (901) 866-8622	Dr Amber Thacker, MD 877 Jefferson Ave, Memphis, TN 38103-2807 Ph: (901) 545-7100

Reviews and Comments

Hospitalist Doctors in Memphis, TN

Danny J Lancaster, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-516-2362 Fax: 901-844-1439
Fnu Kaweeta, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-6969
Mohammad I Abutineh, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6263 Poplar Ave, Suite 1052, Memphis, TN 38119 Phone: 901-351-2120 Fax: 901-761-4145
Ramelle Mansberg Glick, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 920 Madison Ave Ste 447, Memphis, TN 38103 Phone: 901-287-6756
Danny Yaspaul Ram, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1265 Union Ave, Memphis, TN 38104 Phone: 901-516-2362 Fax: 901-516-8254
Heather R Swanson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1169 Jefferson Ave, Memphis, TN 38104 Phone: 562-677-2414
Dr. Natalie Elise Dunlap, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-545-7100 Fax: 901-545-8996

Dr Amber Thacker, MD - Medicare Pediatric Medicine in Memphis, TN