Erica Cordelle Thibeault, PA-C - Medicare Physician Assistant in Boston, MA

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Erica Cordelle Thibeault, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Boston, Massachusetts. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Pratt Ob/gyn Associates, Inc and her current practice location is 300 Longwood Ave, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 355-7648.

Erica Cordelle Thibeault is licensed to practice in Massachusetts (license number PA6205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124547625.

Contact Information

Erica Cordelle Thibeault, PA-C
300 Longwood Ave,
Boston, MA 02115-5724
(617) 355-7648
Not Available

Map and Direction




Provider's Profile

Full NameErica Cordelle Thibeault
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location300 Longwood Ave, Boston, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erica Cordelle Thibeault graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1124547625
  • Provider Enumeration Date: 09/15/2017
  • Last Update Date: 09/15/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6901163955
  • Enrollment ID: I20171129000619

Medical Identifiers

Medical identifiers for Erica Cordelle Thibeault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124547625NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA6205 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tufts Medical CenterBoston, MAHospital
Melrosewakefield HealthcareMelrose, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pratt Ob/gyn Associates, Inc963806025460

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. Erica Cordelle Thibeault allows following entities to bill medicare on her behalf.
Entity NamePratt Ob/gyn Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336186501
PECOS PAC ID: 9638060254
Enrollment ID: O20040323001130
Entity NameChildren's Hospital Pediatric Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457306664
PECOS PAC ID: 3476541830
Enrollment ID: O20040504000964
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007

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. Erica Cordelle Thibeault 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
Erica Cordelle Thibeault, PA-C
47 Colborne Rd Apt B2,
Brighton, MA 02135-4112

Ph: Not Available		Erica Cordelle Thibeault, PA-C
300 Longwood Ave,
Boston, MA 02115-5724

Ph: (617) 355-7648

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.