Michael Stanley Thibault, PAC is a medicare enrolled "Physician Assistant" physician in Danbury, Connecticut. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Connecticut Dermatology Group Pllc and his current practice location is
25 Tamarack Avenue, Advanced Derm Care, Pc, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 797-8990.
Michael Stanley Thibault is licensed to practice in Connecticut (license number 1389) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659324515.
Physician's Profile
| Full Name | Michael Stanley Thibault |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 25 Tamarack Avenue, Danbury, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Stanley Thibault graduated from medical school in 2003
NPI Data:
- NPI Number: 1659324515
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 01/16/2026
Medicare PECOS Information:
- PECOS PAC ID: 9234031824
- Enrollment ID: I20040123000600
Medical Identifiers
Medical identifiers for Michael Stanley Thibault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659324515 | NPI | - | NPPES |
| PA1933 | Other | CO | PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | PA 1933 (Colorado) | Secondary |
| 363A00000X | Physician Assistant | 1389 (Connecticut) | Primary |
| 207N00000X | Dermatology | 001389 (Connecticut) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Connecticut Dermatology Group Pllc | 9032147509 | 23 |
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. Michael Stanley 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 |
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Michael Stanley Thibault, PAC
25 Tamarack Avenue, Advanced Derm Care, Pc,
Danbury, CT 06811
Ph: (203) 797-8990 | Michael Stanley Thibault, PAC
25 Tamarack Avenue, Advanced Derm Care, Pc,
Danbury, CT 06811
Ph: (203) 797-8990 |
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