Marie-josee Thibault, MD in Los Angeles, CA

Marie-josee Thibault, MD is a medicare enrolled "Dermatology" physician in Los Angeles, California. Her current practice location is 5767 W Century Blvd, Suite 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 301-8708.

Marie-josee Thibault is licensed to practice in California (license number A51019) 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 1033168042.

Contact Information

	Marie-josee Thibault, MD
	5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632
	(310) 301-8708
	(310) 301-8751

Map and Direction

Physician's Profile

Full Name	Marie-josee Thibault
Gender	Female
Speciality	Dermatology
Location	5767 W Century Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033168042
Provider Enumeration Date: 05/08/2006
Last Update Date: 11/06/2020

Medicare PECOS Information:

PECOS PAC ID: 8426076639
Enrollment ID: I20170728000201

Medical Identifiers

Medical identifiers for Marie-josee Thibault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033168042	NPI	-	NPPES
00A510190	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	84458 (Georgia)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	A51019 (California)	Secondary
207N00000X	Dermatology	A51019 (California)	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. Marie-josee Thibault allows following entities to bill medicare on her behalf.

Entity Name	Methodist Medical Center Of Illinois
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494

Entity Name	Proctor Health Systems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906

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. Marie-josee 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 Address	Practice Location Address
Marie-josee Thibault, MD 1615 Highway 34 E, Ste B, Newnan, GA 30265-1325 Ph: (310) 301-8708	Marie-josee Thibault, MD 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 Ph: (310) 301-8708

Reviews and Comments

Dermatology Doctors in Los Angeles, CA

Nada M Elbuluk, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1450 San Pablo St Ste 2000, Los Angeles, CA 90033 Phone: 323-442-6200
Yen Tun Wang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 888 S Figueroa St Ste 1050, Los Angeles, CA 90017 Phone: 213-319-3339 Fax: 213-408-4414
Leonard H Kim, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2080 Century Park E Ste 401, Los Angeles, CA 90067 Phone: 310-289-0009 Fax: 844-331-1307
Rachael Lynn Cayce, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1127 Wilshire Blvd, Ste 600, Los Angeles, CA 90017 Phone: 213-278-0021 Fax: 213-278-0973
Dr. Neda R Black, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1441 Eastlake Ave, Topping Tower, Suite 3405, Los Angeles, CA 90089 Phone: 818-634-2514
Dr. Kiyoung Yoo, MD Dermatology Medicare: Medicare Enrolled Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420

Marie-josee Thibault, MD - Medicare Dermatology in Los Angeles, CA