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JEFF THACKREY M.D.
NPI 1306167846
Specialist in Fort Lauderdale, FL

Active since June 18, 2010PECOS Enrolled
6400 N ANDREWS AVE, STE 120, FORT LAUDERDALE, FL 33309(954) 688-4072(954) 653-7209 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff Thackrey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFF THACKREY M.D. (NPI 1306167846) is an individual specialist in Fort Lauderdale, Florida, licensed in Florida (ME93287) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306167846
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJEFF THACKREYCredential: M.D.
Location Address6400 N ANDREWS AVE, STE 120Fort Lauderdale, FL 33309-2114
Mailing Address6400 N Andrews Ave, Ste 120Fort Lauderdale, FL 33309-2114 · (954) 688-4072 · Fax (954) 653-7209
Phone(954) 688-4072
Fax(954) 653-7209
Sole ProprietorYes
Enumeration DateJune 18, 2010
Last NPPES UpdateOctober 15, 2014
✔ NPI 1306167846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME93287
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6400 N ANDREWS AVE, Fort Lauderdale, FL 33309
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeff Thackrey M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIDA NERVE MED, LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
6400 N ANDREWS AVE, SUITE 530
FORT LAUDERDALE, FL 33309
Broward County (844) 636-3876
HILDEGARDE GEISSE MD
Psychiatry & Neurology (Neurology)
6400 N ANDREWS AVE, SUITE 530
FORT LAUDERDALE, FL 33309
Broward County (844) 636-3876
LAUDERDALE HEALTH AND WELLNESS INC.
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
6400 N ANDREWS AVE, STE 120
FORT LAUDERDALE, FL 33309
Broward County (954) 688-4072
DR. LISBETH WINTERBOTTOM ROY D.O.
General Practice
6400 N ANDREWS AVE, STE 120
FORT LAUDERDALE, FL 33309
Broward County (561) 444-7751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Thackrey's NPI number?

The NPI number for Jeff Thackrey is 1306167846. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Jeff Thackrey located?

Jeff Thackrey practices at 6400 N Andrews Ave Ste 120, Fort Lauderdale, FL 33309. The listed phone number is (954) 688-4072.

What is Jeff Thackrey's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeff Thackrey enrolled in Medicare?

Yes. Jeff Thackrey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeff Thackrey was last updated on October 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.