Kelly Thalacker, - Medicare Nurse Practitioner in Easton, PA

Kelly Thalacker, is a medicare enrolled "Nurse Practitioner - Gerontology" in Easton, Pennsylvania. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Luke's Physician Group Inc, St Lukes Warren Physician Group Pc and her current practice location is 41 Corporate Dr # 101, Easton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 559-9330.

Kelly Thalacker is licensed to practice in Pennsylvania (license number SP020519) 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 1184263451.

Contact Information

Kelly Thalacker,
41 Corporate Dr # 101,
Easton, PA 18045-2670
(610) 559-9330
Not Available

Map and Direction




Provider's Profile

Full NameKelly Thalacker
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location41 Corporate Dr # 101, Easton, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Thalacker graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1184263451
  • Provider Enumeration Date: 01/03/2020
  • Last Update Date: 04/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294162087
  • Enrollment ID: I20200217000397

Medical Identifiers

Medical identifiers for Kelly Thalacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184263451NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP020519 (Pennsylvania)Secondary
363LG0600XNurse Practitioner - Gerontology SP020519 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Warren HospitalPhillipsburg, NJHospital
St Luke's Hospital - Anderson CampusEaston, PAHospital
St Luke's Hospital - Easton CampusEaston, PAHospital
St Luke's Hospital BethlehemBethlehem, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Luke's Physician Group Inc67097983331727
St Lukes Warren Physician Group Pc9739093675324

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 Thalacker allows following entities to bill medicare on her behalf.
Entity NameFamily Care Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669563037
PECOS PAC ID: 5395649347
Enrollment ID: O20031121000497
Entity NameSt Lukes Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700984622
PECOS PAC ID: 6709798333
Enrollment ID: O20040226000062
Entity NameTwin Rivers Gastroenterology Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154543486
PECOS PAC ID: 4880589100
Enrollment ID: O20040406000857

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 Thalacker 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 AddressPractice Location Address
Kelly Thalacker,
1605 N Cedar Crest Blvd Ste 411,
Allentown, PA 18104-2323

Ph: (610) 969-1915
Kelly Thalacker,
41 Corporate Dr # 101,
Easton, PA 18045-2670

Ph: (610) 559-9330

Reviews and Comments


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Phone: 866-785-8537    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.