Dr Tara Nichole Thacker, MD in Los Angeles, CA

Dr Tara Nichole Thacker, MD is a medicare enrolled "Family Medicine" physician in Los Angeles, California. She went to Geisel School Of Medicine At Dartmouth and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 4950 W Sunset Blvd, 4th Floor, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (800) 954-8000.

Dr Tara Nichole Thacker is licensed to practice in California (license number A99654) 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 1144426750.

Contact Information

	Dr Tara Nichole Thacker, MD
	4950 W Sunset Blvd, 4th Floor, Los Angeles, CA 90027-5822
	(800) 954-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tara Nichole Thacker
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	4950 W Sunset Blvd, Los Angeles, California
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 Tara Nichole Thacker attended and graduated from Geisel School Of Medicine At Dartmouth in 2005

NPI Data:

NPI Number: 1144426750
Provider Enumeration Date: 06/21/2007
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 6608924212
Enrollment ID: I20090508000014

Medical Identifiers

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

Identifier	Type	State	Issuer
1144426750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A99654 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - Los Angeles	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Tara Nichole Thacker allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Tara Nichole 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 Tara Nichole Thacker, MD 124 Carr Dr, Apartment F, Glendale, CA 91205-1555 Ph: (323) 547-5036	Dr Tara Nichole Thacker, MD 4950 W Sunset Blvd, 4th Floor, Los Angeles, CA 90027-5822 Ph: (800) 954-8000

Reviews and Comments

Family Medicine Doctors in Los Angeles, CA

Srpouhi Gasparyan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4950 W Sunset Blvd Fl 4, Los Angeles, CA 90027 Phone: 626-318-8104
Dr. Olympia Alexandra Kabobel, D.O. M.P.H Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 San Pablo St Ste 1300, Los Angeles, CA 90033 Phone: 323-442-5900
Joy Go Legaspi, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz Ste 8638, Los Angeles, CA 90095 Phone: 310-267-7834
Dr. Afshin Akhavan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 E Washington Blvd, Los Angeles, CA 90015 Phone: 213-747-2626 Fax: 213-749-7500
Bruno J. Lewin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Gabriel Sanchez-aldana Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 S Grand Ave Ste 200, Los Angeles, CA 90015 Phone: 213-419-9600 Fax: 213-419-9900
Dr. Santiago Dayoan Corpuz, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4643 Beverly Blvd Ste 101, Los Angeles, CA 90004 Phone: 323-461-4183 Fax: 323-461-0864

Dr Tara Nichole Thacker, MD - Medicare Family Practice in Los Angeles, CA