Thad Vickery, MD in South San Francisco, CA

Thad Vickery, MD is a medicare enrolled "Otolaryngology" physician in South San Francisco, California. His current practice location is 1200 El Camino Real, South San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (650) 742-2000.

Thad Vickery is licensed to practice in California (license number A161158) 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 1689106957.

Contact Information

	Thad Vickery, MD
	1200 El Camino Real, South San Francisco, CA 94080-3208
	(650) 742-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Thad Vickery
Gender	Male
Speciality	Otolaryngology
Location	1200 El Camino Real, South San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689106957
Provider Enumeration Date: 03/28/2017
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 4688908650
Enrollment ID: I20230816002672

Medical Identifiers

Medical identifiers for Thad Vickery such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689106957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A161158 (California)	Primary

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. Thad Vickery allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Thad Vickery 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
Thad Vickery, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Thad Vickery, MD 1200 El Camino Real, South San Francisco, CA 94080-3208 Ph: (650) 742-2000

Reviews and Comments

Otolaryngology Doctors in South San Francisco, CA

Ramona Q. Fung, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
James A. Nimmo, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Grace Wu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Charles H. Vincent, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Adriane P. Concus, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000

Thad Vickery, MD - Medicare Otolaryngology in South San Francisco, CA