Mia Laisa Thibault, FNP-C - Medicare Nurse Practitioner in Las Vegas, NV

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Mia Laisa Thibault, FNP-C is a medicare enrolled "Nurse Practitioner" in Las Vegas, Nevada. Her current practice location is 2800 N Tenaya Way, Suite 101, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (725) 258-7337.

Mia Laisa Thibault is licensed to practice in Nevada (license number 860389) 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 1144946013.

Contact Information

Mia Laisa Thibault, FNP-C
2800 N Tenaya Way, Suite 101,
Las Vegas, NV 89128
(725) 258-7337
Not Available

Map and Direction




Provider's Profile

Full NameMia Laisa Thibault
GenderFemale
SpecialityNurse Practitioner
Location2800 N Tenaya Way, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144946013
  • Provider Enumeration Date: 10/12/2022
  • Last Update Date: 02/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951772698
  • Enrollment ID: I20230117002138

Medical Identifiers

Medical identifiers for Mia Laisa Thibault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144946013NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 860389 (Nevada)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. Mia Laisa Thibault allows following entities to bill medicare on her behalf.
Entity NameGlobal Wound Care Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235831132
PECOS PAC ID: 9335504539
Enrollment ID: O20230619000164
Entity NameAmerican Wound Care Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497456818
PECOS PAC ID: 6305290172
Enrollment ID: O20231207003496

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. Mia Laisa Thibault 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
Mia Laisa Thibault, FNP-C
2800 N Tenaya Way, Suite 101,
Las Vegas, NV 89128

Ph: (725) 258-7337		Mia Laisa Thibault, FNP-C
2800 N Tenaya Way, Suite 101,
Las Vegas, NV 89128

Ph: (725) 258-7337

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.