Jaclynn Marie Thacker, APRN, NP-C in Paoli, IN

Jaclynn Marie Thacker, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Paoli, Indiana. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Indiana Community Health Care Inc and her current practice location is 420 W Longest St, Paoli, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 723-3944.

Jaclynn Marie Thacker is licensed to practice in Indiana (license number 71011761A) 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 1073283362.

Contact Information

	Jaclynn Marie Thacker, APRN, NP-C
	420 W Longest St, Paoli, IN 47454-8821
	(812) 723-3944
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaclynn Marie Thacker
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	420 W Longest St, Paoli, Indiana
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:

Jaclynn Marie Thacker graduated from nursing school in 2021

NPI Data:

NPI Number: 1073283362
Provider Enumeration Date: 09/17/2021
Last Update Date: 07/24/2024

Medicare PECOS Information:

PECOS PAC ID: 7618366576
Enrollment ID: I20211115001292

Medical Identifiers

Medical identifiers for Jaclynn Marie Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073283362	NPI	-	NPPES
300058325	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71011761A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Paoli Hospital	Paoli, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Indiana Community Health Care Inc	5799694360	22

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. Jaclynn Marie Thacker allows following entities to bill medicare on her behalf.

Entity Name	Southern Indiana Community Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427171057 PECOS PAC ID: 5799694360 Enrollment ID: O20040525000541

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. Jaclynn 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
Jaclynn Marie Thacker, APRN, NP-C 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944	Jaclynn Marie Thacker, APRN, NP-C 420 W Longest St, Paoli, IN 47454-8821 Ph: (812) 723-3944

Reviews and Comments

Nurse Practitioner Nurses in Paoli, IN

Mackenzie Elise Gaw, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3994
Stephanie Frye, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944
Michael Daggy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7451 Fax: 812-723-7508
Linda Carol Wells-freiberger, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 202 Cherry Street, Paoli, IN 47454 Phone: 812-723-0150
Jill Christine Evans, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-7991
Shannon Malena Dooley, N. P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 W Longest St, Paoli, IN 47454 Phone: 812-723-3944 Fax: 812-723-5292

Jaclynn Marie Thacker, APRN, NP-C - Medicare Nurse Practitioner in Paoli, IN