Dr Bonny Elizabeth Thacker, PSYD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in Owensville, Missouri. Her current practice location is
704 E Highway 28, Owensville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 437-2959.
Dr Bonny Elizabeth Thacker is licensed to practice in Missouri (license number 2013006401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093051633.
Healthcare Provider's Profile
Full Name | Dr Bonny Elizabeth Thacker |
---|
Gender | Female |
---|
Speciality | Psychologist - Cognitive & Behavioral |
---|
Location | 704 E Highway 28, Owensville, Missouri |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093051633
- Provider Enumeration Date: 01/01/2013
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 1850536723
- Enrollment ID: I20130325000303
Medical Identifiers
Medical identifiers for Dr Bonny Elizabeth Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093051633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | 2013006401 (Missouri) | Primary |
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 Bonny Elizabeth Thacker allows following entities to bill medicare on her behalf.
Entity Name | Compass Health Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
---|
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 Bonny Elizabeth 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 |
Dr Bonny Elizabeth Thacker, PSYD 180 Community, Clinton, MO 64735-8804 Ph: () - | Dr Bonny Elizabeth Thacker, PSYD 704 E Highway 28, Owensville, MO 65066-1588 Ph: (573) 437-2959 |
Reviews and Comments