Jack L Thorne, MD is a
Obstetrics & Gynecology physician based in Grand Lake, Colorado. Jack L Thorne is licensed to practice in Colorado (license number 15603) and his current practice location is 124 Country Road 4955, Grand Lake, Colorado. He can be reached at his office (for appointments etc.) via phone at
(970) 531-0284.
NPI number for Jack L Thorne is 1740533769 and his current mailing address is Po Box 524, Grand Lake, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740533769.
Physician's Profile
| Full Name | Jack L Thorne |
|---|
| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 124 Country Road 4955, Grand Lake, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740533769
- Provider Enumeration Date: 10/16/2012
- Last Update Date: 10/16/2012
Medical Identifiers
Medical identifiers for Jack L Thorne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740533769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 15603 (Colorado) | Primary |
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. Jack L Thorne is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jack L Thorne, MD
Po Box 524,
Grand Lake, CO 80447-0524
Ph: (970) 531-0284 | Jack L Thorne, MD
124 Country Road 4955,
Grand Lake, CO 80447-0524
Ph: (970) 531-0284 |
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