Hollie Marie Thacker, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lincoln Park, Michigan. Her current practice location is
1050 Ford Blvd, Lincoln Park, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 400-0123.
Hollie Marie Thacker is licensed to practice in Michigan (license number 4704278682) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083232391.
Provider's Profile
Full Name | Hollie Marie Thacker |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 1050 Ford Blvd, Lincoln Park, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Hollie Marie Thacker attended and graduated from in
NPI Data:
- NPI Number: 1083232391
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Hollie Marie Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083232391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 4704278682 (Michigan) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 4704278682 (Michigan) | 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. Hollie Marie 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 |
Hollie Marie Thacker, 1050 Ford Blvd, Lincoln Park, MI 48146-4225 Ph: (313) 400-0123 | Hollie Marie Thacker, 1050 Ford Blvd, Lincoln Park, MI 48146-4225 Ph: (313) 400-0123 |
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