Ashley Marie Thibodeau, - Medicare Nurse Practitioner in Detroit, MI

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Ashley Marie Thibodeau, is a medicare enrolled "Nurse Practitioner" in Detroit, Michigan. Her current practice location is 3950 Beaubien St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 832-9620.

Ashley Marie Thibodeau is licensed to practice in Michigan (license number 4704293510) 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 1396275582.

Contact Information

Ashley Marie Thibodeau,
3950 Beaubien St,
Detroit, MI 48201-2166
(313) 832-9620
Not Available

Map and Direction




Provider's Profile

Full NameAshley Marie Thibodeau
GenderFemale
SpecialityNurse Practitioner
Location3950 Beaubien St, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396275582
  • Provider Enumeration Date: 06/19/2017
  • Last Update Date: 09/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082973631
  • Enrollment ID: I20210714001249

Medical Identifiers

Medical identifiers for Ashley Marie Thibodeau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396275582NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704293510 (Michigan)Primary
163WP0200XRegistered Nurse - Pediatrics 4704293510 (Michigan)Secondary
363LP0200XNurse Practitioner - Pediatrics 4704293510 (Michigan)Secondary
363LP0200XNurse Practitioner - Pediatrics AP60810818 (Washington)Secondary

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. Ashley Marie Thibodeau allows following entities to bill medicare on her behalf.
Entity NameUniversity Pediatricians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811920549
PECOS PAC ID: 9638070568
Enrollment ID: O20040115000125

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. Ashley Marie Thibodeau 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 AddressPractice Location Address
Ashley Marie Thibodeau,
26901 Beaumont Blvd Ste 3d,
Southfield, MI 48033-3849

Ph: () -		Ashley Marie Thibodeau,
3950 Beaubien St,
Detroit, MI 48201-2166

Ph: (313) 832-9620

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.