| Marie-josee Thibault, MD | |
|
5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 | |
| (310) 301-8708 | |
| (310) 301-8751 |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033168042 | NPI | - | NPPES |
| 00A510190 | Medicaid | CA |
| 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 |
| 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 |
Andie Kwon, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90089 Phone: 323-409-3360 Fax: 323-226-2654 |
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 |
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: Accepting Medicare Assignments Practice Location: Ucla Dermatology 52-121 Chs 10833 Le Conte, Los Angeles, CA 90095 Phone: 310-825-5420 |
Dr. Eric Joel Meinhardt, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025 Phone: 310-275-1170 Fax: 310-275-1076 |