Paula G Thacker, CNM is a medicare enrolled "Advanced Practice Midwife" in West Valley City, Utah. She went to University Of Utah School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hidden Valley Family Medicine Inc and her current practice location is
3725 W 4100 South, West Valley City, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 965-3600.
Paula G Thacker is licensed to practice in Utah (license number 2132644402) 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 1205867553.
Provider's Profile
| Full Name | Paula G Thacker |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 24 Years |
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| Location | 3725 W 4100 South, West Valley City, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Paula G Thacker attended and graduated from University Of Utah School Of Medicine in 2000
NPI Data:
- NPI Number: 1205867553
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 03/18/2009
Medicare PECOS Information:
- PECOS PAC ID: 0345238952
- Enrollment ID: I20201222000559
Medical Identifiers
Medical identifiers for Paula G Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205867553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 2132644402 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hidden Valley Family Medicine Inc | 5294899456 | 7 |
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. Paula G Thacker allows following entities to bill medicare on her behalf.
| Entity Name | Hidden Valley Family Medicine Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144246984
PECOS PAC ID: 5294899456
Enrollment ID: O20090203000171 |
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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. Paula G 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 |
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Paula G Thacker, CNM
3725 W 4100 South,
West Valley City, UT 84120
Ph: (801) 965-3600 | Paula G Thacker, CNM
3725 W 4100 South,
West Valley City, UT 84120
Ph: (801) 965-3600 |
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