Krystal Marie Thayer, PA-C - Medicare Physician Assistant in Jackson, OH

Krystal Marie Thayer, PA-C is a medicare enrolled "Physician Assistant" in Jackson, Ohio. Her current practice location is 500 Burlington Rd, Jackson, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 288-4625.

Krystal Marie Thayer is licensed to practice in * (Not Available) (license number ) 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 1821517574.

Contact Information

Krystal Marie Thayer, PA-C
500 Burlington Rd,
Jackson, OH 45640-9360
(740) 288-4625
Not Available



Provider's Profile

Full NameKrystal Marie Thayer
GenderFemale
SpecialityPhysician Assistant
Location500 Burlington Rd, Jackson, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821517574
  • Provider Enumeration Date: 09/13/2017
  • Last Update Date: 11/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294091740
  • Enrollment ID: I20171115003933

Medical Identifiers

Medical identifiers for Krystal Marie Thayer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821517574NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

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. Krystal Marie Thayer 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
Krystal Marie Thayer, PA-C
759 Stewart Ave,
Streetsboro, OH 44241-4750

Ph: (330) 221-0267
Krystal Marie Thayer, PA-C
500 Burlington Rd,
Jackson, OH 45640-9360

Ph: (740) 288-4625

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