Thacker Family Medical LLC
A Medicare group practice based in Pikeville, KY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1557523057), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 1557523057
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- KY
- Enrollments
- 3
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20120430000202 | KY | Part B Supplier - Clinic/Group Practice | 1629342985 |
| O20211022001430 | KY | Part A Provider - Rural Health Clinic | 1134898364 |
| O20221018000532 | KY | Part B Supplier - Clinic/Group Practice | 1134898364 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Thacker Family Medical LLC
- Rural Health Clinic/Center
- Pikeville, KY
- NPI 1134898364
-
Thacker Family Medical LLC
- Family Medicine Physician
- Pikeville, KY
- NPI 1629342985
Practice locations
- Pikeville, KY3
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Billie Bartley, PAC
- Physician Assistant
- Pikeville, KY
- NPI 1184688855
-
Chadward Thacker, MD
- Family Medicine Physician
- Pikeville, KY
- NPI 1801811542
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.