Hollie Marie Thacker, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lincoln Park, Michigan. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Scheurer Hospital and 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 | Certified Registered Nurse Anesthetist (crna) |
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Experience | 4 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 graduated from nursing school in 2020
NPI Data:
- NPI Number: 1083232391
- Provider Enumeration Date: 07/13/2020
- Last Update Date: 02/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254743065
- Enrollment ID: I20201221001514
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Scheurer Hospital | 1456242296 | 28 |
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. Hollie Marie Thacker allows following entities to bill medicare on her behalf.
Entity Name | Scheurer Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063582831 PECOS PAC ID: 1456242296 Enrollment ID: O20040322001801 |
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Entity Name | Northstar Anesthesia Of Michigan Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871986372 PECOS PAC ID: 9638481591 Enrollment ID: O20150707000070 |
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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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