Courtney Bryce Thayer, is a
Nurse Practitioner - Family based in Burkburnett, Texas. Courtney Bryce Thayer is licensed to practice in Texas (license number 1185946) and her current practice location is
602 Mimosa St, Burkburnett, Texas. She can be reached at her office (for appointments etc.) via phone at
(940) 224-3610.
NPI number for Courtney Bryce Thayer is 1417767302 and her current mailing address is 602 Mimosa St, Burkburnett, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417767302.
Provider's Profile
Full Name | Courtney Bryce Thayer |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 602 Mimosa St, Burkburnett, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417767302
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Courtney Bryce Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417767302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1185946 (Texas) | 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. Courtney Bryce Thayer 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 |
Courtney Bryce Thayer, 602 Mimosa St, Burkburnett, TX 76354-2350 Ph: (940) 224-3610 | Courtney Bryce Thayer, 602 Mimosa St, Burkburnett, TX 76354-2350 Ph: (940) 224-3610 |
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