| Kali Marie Thibault, PHYSICIAN ASSISTANT | |
|
11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 | |
| (253) 985-2949 | |
| (253) 985-2948 |
| Full Name | Kali Marie Thibault |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 11311 Bridgeport Way Sw Ste 309, Lakewood, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336758432 | NPI | - | NPPES |
| 2165926 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA61073932 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 2312 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Kali Marie Thibault, PHYSICIAN ASSISTANT 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 Ph: (253) 985-2949 | Kali Marie Thibault, PHYSICIAN ASSISTANT 11311 Bridgeport Way Sw Ste 309, Lakewood, WA 98499-3078 Ph: (253) 985-2949 |
Marisol Salazar, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-597-4550 |
Paul Bradley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11306 Bridgeport Way Sw, Ste D, Lakewood, WA 98499 Phone: 425-774-1538 |
Mr. Phillip Darby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 |
Mrs. Margaret Colleen Gram, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9600 Veterans Dr, Dept Of Veterans Affairs, Lakewood, WA 98493 Phone: 253-582-8440 |
Claudia Araceli Holsen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 |
Julia Elizabeth Cathcart-chang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9332 Bridgeport Way Sw, Lakewood, WA 98499 Phone: 253-459-6065 |
Joseph D. Ference, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9720 S Tacoma Way, Lakewood, WA 98499 Phone: 253-503-3666 |