| Daniel Thomas Thibodeau, PA | |
|
400 Sentara Cir Ste 320, Williamsburg, VA 23188-5716 | |
| (757) 345-4800 | |
| Not Available |
| Full Name | Daniel Thomas Thibodeau |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 400 Sentara Cir Ste 320, Williamsburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396760930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 011000711 (Virginia) | Primary |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Thomas Thibodeau, PA 400 Sentara Cir Ste 320, Williamsburg, VA 23188-5716 Ph: (757) 345-4800 | Daniel Thomas Thibodeau, PA 400 Sentara Cir Ste 320, Williamsburg, VA 23188-5716 Ph: (757) 345-4800 |
Odessa Ochoa, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5477 Mooretown Rd, Williamsburg, VA 23188 Phone: 800-582-5066 |
Dr. Robert Peter Dunne Jr., PA-C, DC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Sentara Cir, Williamsburg, VA 23188 Phone: 757-645-3150 Fax: 757-645-3149 |
Paula Figgs, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5408 Discovery Park Blvd Ste 300, Williamsburg, VA 23188 Phone: 757-825-2500 |
Virginia Elizabeth Knight, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 410, Williamsburg, VA 23188 Phone: 757-345-4600 |
Christine Anastasio, Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Sentara Cir Ste 320, Williamsburg, VA 23188 Phone: 757-345-4300 |
Summer French, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4808 Courthouse St Ste 102, Williamsburg, VA 23188 Phone: 757-622-6315 |
Hannah Lee Manson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Sentara Cir Rm 2c, Williamsburg, VA 23188 Phone: 757-984-7217 Fax: 757-984-7210 |