Dr Robert Mitchell Thacker, OD - Medicare Optometrist in Providence, RI

Dr Robert Mitchell Thacker, OD is a medicare enrolled "Optometrist" provider in Providence, Rhode Island. He went to New England College Of Optometry and graduated in 1993 and has 31 years of diverse experience with area of expertise as Optometry. He is a member of the group practice George D Bertherman,o.d., Inc. and his current practice location is 1466 Broad St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 941-6221.

Dr Robert Mitchell Thacker is licensed to practice in Rhode Island (license number ODTA00456) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003874991.

Contact Information

Dr Robert Mitchell Thacker, OD
1466 Broad St,
Providence, RI 02905-2836
(401) 941-6221
(401) 941-6227

Map and Direction




Healthcare Provider's Profile

Full NameDr Robert Mitchell Thacker
GenderMale
SpecialityOptometry
Experience31 Years
Location1466 Broad St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert Mitchell Thacker attended and graduated from New England College Of Optometry in 1993
  NPI Data:
  • NPI Number: 1003874991
  • Provider Enumeration Date: 05/02/2006
  • Last Update Date: 09/19/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5496883001
  • Enrollment ID: I20100503000021

Medical Identifiers

Medical identifiers for Dr Robert Mitchell Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003874991NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist ODTA00456 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
George D Bertherman,o.d., Inc.13554418584

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. Dr Robert Mitchell Thacker allows following entities to bill medicare on his behalf.
Provider NameGeorge D Bertherman,o.d., Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1316072143
PECOS PAC ID: 1355441858
Enrollment ID: O20070712000837

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. Dr Robert Mitchell 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 AddressPractice Location Address
Dr Robert Mitchell Thacker, OD
506 Fish Hill Rd,
West Greenwich, RI 02817-2209

Ph: () -
Dr Robert Mitchell Thacker, OD
1466 Broad St,
Providence, RI 02905-2836

Ph: (401) 941-6221

Reviews and Comments


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Phone: 401-331-7850    Fax: 401-274-4739

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.