Robert Slade Thacker, APRN CFNP - Medicare Nurse Practitioner in Caldwell, ID

Robert Slade Thacker, APRN CFNP is a medicare enrolled "Nurse Practitioner - Family" in Caldwell, Idaho. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice West Valley Medical Group Llc and his current practice location is 1906 Fairview Ave, Ste. 230, Caldwell, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 459-4667.

Robert Slade Thacker is licensed to practice in Idaho (license number NP-1096A) 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 1124309224.

Contact Information

Robert Slade Thacker, APRN CFNP
1906 Fairview Ave, Ste. 230,
Caldwell, ID 83605-5407
(208) 459-4667
Not Available



Provider's Profile

Full NameRobert Slade Thacker
GenderMale
SpecialityNurse Practitioner
Experience13 Years
Location1906 Fairview Ave, Caldwell, Idaho
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:
  • Robert Slade Thacker graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1124309224
  • Provider Enumeration Date: 09/01/2011
  • Last Update Date: 01/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517126659
  • Enrollment ID: I20120309000325

Medical Identifiers

Medical identifiers for Robert Slade Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124309224NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1096A (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
West Valley Medical CenterCaldwell, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
West Valley Medical Group Llc872918031012

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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. Robert Slade Thacker allows following entities to bill medicare on his behalf.
Entity NameWest Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871673798
PECOS PAC ID: 8729180310
Enrollment ID: O20070228000567

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Entity NameCarepoint Health Emergency Medicine Idaho Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285275461
PECOS PAC ID: 6406283860
Enrollment ID: O20200224002457

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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. Robert Slade 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
Robert Slade Thacker, APRN CFNP
1906 Fairview Ave, Ste. 230,
Caldwell, ID 83605-5407

Ph: (208) 459-4667
Robert Slade Thacker, APRN CFNP
1906 Fairview Ave, Ste. 230,
Caldwell, ID 83605-5407

Ph: (208) 459-4667

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Nurse Practitioner Nurses in Caldwell, ID

Cynthia Jane Floyd, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 15076 Plum Rd, Caldwell, ID 83607
Phone: 208-830-5560    
Matthew Fowler, AGNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 E Logan St Ste 301, Caldwell, ID 83605
Phone: 208-649-4315    Fax: 208-649-4513
Ashley Fae White, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1717 Arlington Ave, Caldwell, ID 83605
Phone: 208-459-4641    
Mrs. Deborah Lee Sullivan, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 211 E Logan St, Suite 105, Caldwell, ID 83605
Phone: 208-454-0567    Fax: 208-402-6635
Lynette Joy Ages, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 S 10th Ave Ste 200, Caldwell, ID 83605
Phone: 208-453-6417    Fax: 208-453-6419
Crystal Gail Belcourt, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1620 S Kimball Ave, Caldwell, ID 83605
Phone: 208-505-2950    Fax: 208-505-2955

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