Tricia W Thackston, RN, NP-C | |
720 Westview Dr Sw, Atlanta, GA 30310-1458 | |
(404) 616-3200 | |
Not Available |
Full Name | Tricia W Thackston |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 720 Westview Dr Sw, Atlanta, Georgia |
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 |
---|---|---|---|
1801136593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LC0200X | Nurse Practitioner - Critical Care Medicine | RN154255 (Georgia) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | RN154255 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Professional Services Llc | 8921176231 | 132 |
Entity Name | Morehouse Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
Entity Name | Piedmont Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104088905 PECOS PAC ID: 8921176231 Enrollment ID: O20081014000187 |
Mailing Address | Practice Location Address |
---|---|
Tricia W Thackston, RN, NP-C 720 Westview Dr Sw, Atlanta, GA 30310-1458 Ph: (404) 616-3200 | Tricia W Thackston, RN, NP-C 720 Westview Dr Sw, Atlanta, GA 30310-1458 Ph: (404) 616-3200 |
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Ashley Rae Gore, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 Collier Rd Nw, Suite 300, Atlanta, GA 30309 Phone: 404-605-2800 Fax: 404-351-5983 | |
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Brittany Kathryn Suchanek, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-785-5252 | |
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