Jamie Thacker, in Mishawaka, IN - Medicare Nurse Practitioner

Jamie Thacker, is a medicare enrolled "Nurse Practitioner - Family" in Mishawaka, Indiana. Her current practice location is 4630 Vistula Rd, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-1900.

Jamie Thacker is licensed to practice in Indiana (license number 28202077A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548998131.

Contact Information

	Jamie Thacker,
	4630 Vistula Rd, Mishawaka, IN 46544-4000
	(574) 647-1900
	(574) 647-7289

Map and Direction

Provider's Profile

Full Name	Jamie Thacker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4630 Vistula Rd, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548998131
Provider Enumeration Date: 08/11/2022
Last Update Date: 11/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0244687606
Enrollment ID: I20231107003523

Medical Identifiers

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

Identifier	Type	State	Issuer
1548998131	NPI	-	NPPES
300083152	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28202077A (Indiana)	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. Jamie Thacker allows following entities to bill medicare on her behalf.

Entity Name	Beacon Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033161617 PECOS PAC ID: 1254243306 Enrollment ID: O20031105000657

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. Jamie 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
Jamie Thacker, 3245 Health Dr Ste 100, Granger, IN 46530-1380 Ph: (574) 647-2129	Jamie Thacker, 4630 Vistula Rd, Mishawaka, IN 46544-4000 Ph: (574) 647-1900

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Jamie Thacker, - Medicare Nurse Practitioner in Mishawaka, IN