Erin Withers Thackeray, MD in Coon Rapids, MN

Erin Withers Thackeray, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Coon Rapids, Minnesota. She went to University Of Minnesota Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice The Duluth Clinic Ltd and her current practice location is 9145 Springbrook Dr Nw Ste 200, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 871-1145.

Erin Withers Thackeray is licensed to practice in Minnesota (license number 49874) 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 1457472268.

Contact Information

	Erin Withers Thackeray, MD
	9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433-5886
	(612) 871-1145
	Not Available

Map and Direction

Physician's Profile

Full Name	Erin Withers Thackeray
Gender	Female
Speciality	Gastroenterology
Experience	18 Years
Location	9145 Springbrook Dr Nw Ste 200, Coon Rapids, Minnesota
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:

Erin Withers Thackeray attended and graduated from University Of Minnesota Medical School in 2006

NPI Data:

NPI Number: 1457472268
Provider Enumeration Date: 04/02/2007
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0446346845
Enrollment ID: I20071017000209

Medical Identifiers

Medical identifiers for Erin Withers Thackeray such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457472268	NPI	-	NPPES
252403000	Medicaid	MN
P01034526	Other	MN	MN MEC RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	499874 (Minnesota)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	49874 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health St Mary's Medical Center	Duluth, MN	Hospital
St Marys Hospital Superior	Superior, WI	Hospital
Essentia Health Duluth	Duluth, MN	Hospital
Essentia Health Virginia	Virginia, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Duluth Clinic Ltd	2567374283	949

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. Erin Withers Thackeray allows following entities to bill medicare on her behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

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. Erin Withers Thackeray 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
Erin Withers Thackeray, MD Po Box 14909, Minneapolis, MN 55414-0909 Ph: (612) 871-1145	Erin Withers Thackeray, MD 9145 Springbrook Dr Nw Ste 200, Coon Rapids, MN 55433-5886 Ph: (612) 871-1145

Reviews and Comments

Internal Medicine Doctors in Coon Rapids, MN

Dr. Jaya Bhattarai, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000
Zongyu J Chen, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9145 Springbrook Dr, #200, Coon Rapids, MN 55433 Phone: 612-871-1145 Fax: 612-870-5491
Amber Galarowicz, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000
Evan L Domeyer, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423
Natalia Yazigi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Linda Benjamin Soucie, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433 Phone: 763-236-9400 Fax: 763-236-9423
Wendoly R Slattery, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155

Erin Withers Thackeray, MD - Medicare Gastroenterology in Coon Rapids, MN