Ike Clayton Thacker, MD in Dallas, TX - Medicare Diagnostic Radiology

Ike Clayton Thacker, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dallas, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1996 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice American Radiology Consultants Pllc and his current practice location is 3500 Gaston Ave, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 826-8822.

Ike Clayton Thacker is licensed to practice in Texas (license number L7215) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720031511.

Contact Information

	Ike Clayton Thacker, MD
	3500 Gaston Ave, Dallas, TX 75246
	(214) 826-8822
	(214) 926-9792

Map and Direction

Physician's Profile

Full Name	Ike Clayton Thacker
Gender	Male
Speciality	Diagnostic Radiology
Experience	28 Years
Location	3500 Gaston Ave, Dallas, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ike Clayton Thacker attended and graduated from University Of Texas Medical Branch At Galveston in 1996

NPI Data:

NPI Number: 1720031511
Provider Enumeration Date: 05/19/2006
Last Update Date: 02/15/2012

Medicare PECOS Information:

PECOS PAC ID: 6103720305
Enrollment ID: I20031120000349

Medical Identifiers

Medical identifiers for Ike Clayton Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720031511	NPI	-	NPPES
161586601	Medicaid	TX
159116603	Medicaid	TX
159116604	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	L7215 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baylor University Medical Center	Dallas, TX	Hospital
Baylor Scott & White Medical Center- Waxahachie	Waxahachie, TX	Hospital
Methodist Dallas Medical Center	Dallas, TX	Hospital
Baylor Scott & White Heart & Vascular Hospital - Dallas	Dallas, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Radiology Consultants Pllc	6709868409	107

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. Ike Clayton Thacker allows following entities to bill medicare on his behalf.

Entity Name	American Radiology Consultants Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669425195 PECOS PAC ID: 6709868409 Enrollment ID: O20070301000082

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. Ike Clayton 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
Ike Clayton Thacker, MD 712 N Washington Ave, Suite 101, Dallas, TX 75246-1619 Ph: (214) 826-8822	Ike Clayton Thacker, MD 3500 Gaston Ave, Dallas, TX 75246 Ph: (214) 826-8822

Reviews and Comments

Radiology Doctors in Dallas, TX

Dr. Nhat-long Lam Pham, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 Forest Park Rd, Dallas, TX 75390 Phone: 241-645-7615 Fax: 214-645-7624
Firouzeh Arjmandi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd., Dallas, TX 75390 Phone: 214-645-3586
Dr. John Debevits Iv, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3928
Natalia Cabrera Almonte, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd # E6112, Dallas, TX 75390 Phone: 214-648-2054
W Crysup Sory, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12700 Park Central Dr, Ste 430, Dallas, TX 75251 Phone: 972-239-8902 Fax: 972-661-2551
Jacqueline Tyra Caire, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 469-757-1000
Dr. Thomas Louis Borok, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5004 Spyglass Drive, Dallas, TX 75287 Phone: 972-931-1073 Fax: 972-931-1073

Ike Clayton Thacker, MD - Medicare Diagnostic Radiology in Dallas, TX