Dr Thomas Alvis Thacker, DO | |
19 Medical Loop Ste 3, Whitley City, KY 42653-4382 | |
(606) 376-5391 | |
(606) 376-3326 |
Full Name | Dr Thomas Alvis Thacker |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 19 Medical Loop Ste 3, Whitley City, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922251123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04885 (Kentucky) | Primary |
207Q00000X | Family Medicine | DO0000003582 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Quality Home Health | Jamestown, TN | Home health agency |
Livingston Regional Hospital | Livingston, TN | Hospital |
Cookeville Regional Medical Center | Cookeville, TN | Hospital |
Pickett Care And Rehabilitation Center | Byrdstown, TN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Firstchoice Family Care | 2668802968 | 3 |
Firstchoice Family Care | 2668802968 | 3 |
Cumberland Family Medical Center, Inc. | 6305947789 | 100 |
Entity Name | Firstchoice Family Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962961466 PECOS PAC ID: 2668802968 Enrollment ID: O20200429002378 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Alvis Thacker, DO Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655 | Dr Thomas Alvis Thacker, DO 19 Medical Loop Ste 3, Whitley City, KY 42653-4382 Ph: (606) 376-5391 |
Rachel S Holeman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 N Highway 27, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 888-960-2041 | |
Francis J Pimentel, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 71 Medical Lane, South Fork Medical Clinic, Whitley City, KY 42653 Phone: 606-376-7212 Fax: 606-376-7216 | |
John A. L. Patton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Medical Loop, Suite #3, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 606-376-3326 | |
Jerald Miller Burgess, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 19 Medical Loop, Suite #3, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 606-376-3326 | |
Dr. Amber Shadoan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19 Medical Loop Ste 3, Whitley City, KY 42653 Phone: 606-376-5391 Fax: 888-960-2041 |