Kelly S Thayer, APNP in Tomah, WI - Medicare Nurse Practitioner

Kelly S Thayer, APNP is a medicare enrolled "Nurse Practitioner - Family" in Tomah, Wisconsin. Her current practice location is 501 Gopher Dr, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-2181.

Kelly S Thayer is licensed to practice in Wisconsin (license number 2899) 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 1780748343.

Contact Information

	Kelly S Thayer, APNP
	501 Gopher Dr, Tomah, WI 54660-4513
	(608) 372-2181
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly S Thayer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	501 Gopher Dr, Tomah, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780748343
Provider Enumeration Date: 12/20/2006
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 9436252210
Enrollment ID: I20070315000323

Medical Identifiers

Medical identifiers for Kelly S Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780748343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2899 (Wisconsin)	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. Kelly S Thayer allows following entities to bill medicare on her behalf.

Entity Name	Tomah Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123

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. Kelly S Thayer 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
Kelly S Thayer, APNP 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181	Kelly S Thayer, APNP 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181

Reviews and Comments

Nurse Practitioner Nurses in Tomah, WI

Evelyn Williams Bragg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Mr. Daniel Hannan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Sarah J Rezin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1240
Amy Pollack, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Kayla J Gilman, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-372-4111
Agnieszka Dendura, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-371-2181
Mrs. Lyndell Marie Wedyke, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111

Kelly S Thayer, APNP - Medicare Nurse Practitioner in Tomah, WI