Timothy Thacker, CRNA | |
2951 Maple Avenue, Zanesville, OH 43701-1406 | |
(740) 387-6193 | |
(740) 387-6738 |
Full Name | Timothy Thacker |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 47 Years |
Location | 2951 Maple Avenue, Zanesville, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437134376 | NPI | - | NPPES |
0852091 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 139495 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | COA.00754-NA (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spine, Llc | 1456503937 | 3 |
Entity Name | Doctors Anesthesia Services Of Columbus Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275577157 PECOS PAC ID: 7618953597 Enrollment ID: O20040629001735 |
Entity Name | Spine, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780987768 PECOS PAC ID: 1456503937 Enrollment ID: O20121207000232 |
Entity Name | Genesis Anesthesia Providers, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295205433 PECOS PAC ID: 0042558066 Enrollment ID: O20190215001836 |
Mailing Address | Practice Location Address |
---|---|
Timothy Thacker, CRNA 945 Bethesda Drive, 200b, Zanesville, OH 43701-1406 Ph: (740) 455-4937 | Timothy Thacker, CRNA 2951 Maple Avenue, Zanesville, OH 43701-1406 Ph: (740) 387-6193 |
Eleanor Nicolozakes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Avenue, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Nanci Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Avenue, Zanesville, OH 43701 Phone: 513-672-3309 Fax: 513-672-3323 | |
Mary E. Moyer, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-450-3266 | |
Lucas Halliday, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-5000 | |
Kyle Christopher Parks, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-4000 | |
Mr. Joseph Andrew Weisenberger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-4000 | |
Brooke N Gerst, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2951 Maple Ave, Zanesville, OH 43701 Phone: 740-454-5000 |