Jacob Bryce Thatcher, DO is a medicare enrolled "Urology" physician in Stratford, New Jersey. His current practice location is
1 Medical Center Dr Ste 162, Stratford, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 566-6946.
Jacob Bryce Thatcher is licensed to practice in Idaho (license number MSO0262) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992263438.
Physician's Profile
Full Name | Jacob Bryce Thatcher |
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Gender | Male |
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Speciality | Urology |
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Location | 1 Medical Center Dr Ste 162, Stratford, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992263438
- Provider Enumeration Date: 03/04/2019
- Last Update Date: 03/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 2264874528
- Enrollment ID: I20240531002279
Medical Identifiers
Medical identifiers for Jacob Bryce Thatcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992263438 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MSO0262 (Idaho) | 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. Jacob Bryce Thatcher 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 |
Jacob Bryce Thatcher, DO 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 Ph: (856) 566-6946 | Jacob Bryce Thatcher, DO 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 Ph: (856) 566-6946 |
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