Dr Brent C Thibodeaux, MD in Reston, VA

Dr Brent C Thibodeaux, MD is a medicare enrolled "Pediatrics" physician in Reston, Virginia. His current practice location is 11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center, Reston, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 709-1500.

Dr Brent C Thibodeaux is licensed to practice in Virginia (license number 0101057696) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386705721.

Contact Information

	Dr Brent C Thibodeaux, MD
	11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center, Reston, VA 20190-5276
	(703) 709-1500
	(703) 709-1711

Map and Direction

Physician's Profile

Full Name	Dr Brent C Thibodeaux
Gender	Male
Speciality	Pediatrics
Location	11445 Sunset Hills Rd, Reston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386705721
Provider Enumeration Date: 12/12/2006
Last Update Date: 06/23/2021

Medicare PECOS Information:

PECOS PAC ID: 3072645332
Enrollment ID: I20100722000065

Medical Identifiers

Medical identifiers for Dr Brent C Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386705721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D61216 (Maryland)	Secondary
208000000X	Pediatrics	MD034757 (District Of Columbia)	Secondary
208000000X	Pediatrics	0101057696 (Virginia)	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. Dr Brent C Thibodeaux allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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. Dr Brent C Thibodeaux 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 Address	Practice Location Address
Dr Brent C Thibodeaux, MD 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908 Ph: (301) 816-2424	Dr Brent C Thibodeaux, MD 11445 Sunset Hills Rd, Kaiser Permanente Reston Medical Center, Reston, VA 20190-5276 Ph: (703) 709-1500

Reviews and Comments

Pediatrics Doctors in Reston, VA

Emily A Lozano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1850 Town Center Pkwy, Reston Hospital Center, Reston, VA 20190 Phone: 703-689-9037 Fax: 703-689-9109
Niloofar Arbabi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1760 Reston Pkwy, Suite 400, Reston, VA 20190 Phone: 703-467-9444 Fax: 703-467-8484
Ruth Avigan Mann, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Sunrise Valley Dr, Suite #150, Reston, VA 20191 Phone: 703-262-0100 Fax: 703-262-0333
Dr. Damien M Parker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1890 Metro Center Dr, Reston, VA 20190 Phone: 703-709-1500 Fax: 703-709-1625
Dr. Gail Carome, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11130 Sunrise Valley Dr, Suite 150, Reston, VA 20191 Phone: 703-262-0100 Fax: 703-262-0333
Geetanjali Jain, MSN, DNP, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191 Phone: 703-834-1473 Fax: 703-318-7463
Dr. Alana Kathryn Lewis, MB, BCH, BAO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1830 Town Center Dr, Unit 205, Reston, VA 20190 Phone: 703-435-3636 Fax: 703-435-9145

Dr Brent C Thibodeaux, MD - Medicare Pediatrics in Reston, VA