Michelle Macey Thacker, NP-C | |
2111 Lexington Ave, Lawrenceville, IL 62439 | |
(618) 943-7214 | |
Not Available |
Full Name | Michelle Macey Thacker |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2111 Lexington Ave, Lawrenceville, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073003588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209017621 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 71010904A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence County Memorial Hospital | Lawrenceville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lawrence County Memorial Hospital | 7517144249 | 15 |
Entity Name | Lawrence County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396024162 PECOS PAC ID: 7517144249 Enrollment ID: O20110815000691 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Mailing Address | Practice Location Address |
---|---|
Michelle Macey Thacker, NP-C 2111 Lexington Ave, Lawrenceville, IL 62439 Ph: () - | Michelle Macey Thacker, NP-C 2111 Lexington Ave, Lawrenceville, IL 62439 Ph: (618) 943-7214 |
Danielle Deisher, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2101 James St, Lawrenceville, IL 62439 Phone: 618-943-3302 | |
Reiley Eryn Michels, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7214 | |
Tracy R Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-942-7214 | |
Emma Ray Engel, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11741 Sizemore Ln, Lawrenceville, IL 62439 Phone: 812-881-5468 | |
Kourtney Benson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Trim Masters Drive, Lawrenceville, IL 62439 Phone: 618-943-7900 Fax: 618-943-7901 | |
Mrs. Tanna Lynn Mccullough, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 Lexington Ave, Lawrenceville, IL 62439 Phone: 618-943-7216 Fax: 618-943-7219 |