| Dr Melissa W Thibault, MD | |
|
201 Dates Dr, Suite 201, Ithaca, NY 14850-1345 | |
| (607) 277-4097 | |
| (607) 277-4142 |
| Full Name | Dr Melissa W Thibault |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 25 Years |
| Location | 201 Dates Dr, Ithaca, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841283413 | NPI | - | NPPES |
| 02552894 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 232165 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physiatry And Rehabilitation Medicine Pc | 9638140270 | 2 |
| Entity Name | Physiatry & Rehabilitation Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932157955 PECOS PAC ID: 9638140270 Enrollment ID: O20040805000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa W Thibault, MD 202 Taughannock Blvd, Po Box 366, Ithaca, NY 14850-3328 Ph: (607) 277-3257 | Dr Melissa W Thibault, MD 201 Dates Dr, Suite 201, Ithaca, NY 14850-1345 Ph: (607) 277-4097 |
Rebecca Menard, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 720 Willow Ave, Ithaca, NY 14850 Phone: 607-219-4600 | |
Dr. Andrew J. Morpurgo, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 201 Dates Dr, Suite 201, Ithaca, NY 14850 Phone: 607-277-4097 Fax: 607-277-4142 | |
Mr. Benjamin Lewis, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2359 N Triphammer Rd, Ithaca, NY 14850 Phone: 607-257-5009 Fax: 607-257-9985 | |
Mr. Brian Burns, PT, DPT, ATC Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2359 N Triphammer Rd, Ithaca, NY 14850 Phone: 607-257-5009 Fax: 607-257-9985 | |
Dr. Margery Claire Holman, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 402 Third Street,, Ste 2, Ithaca, NY 14850 Phone: 607-272-9937 Fax: 607-272-9996 |