Samuel J Thibodeaux, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ukiah, CA

  1. Home
  2. Nurse Anesthetist - CR
  3. CA
  4. Ukiah
Samuel J Thibodeaux, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ukiah, California. He graduated from nursing school in 2005 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Management Services Of California Inc, Willits Hospital Inc and his current practice location is 271 Observatory Ave, Ukiah, California. You can reach out to his office (for appointments etc.) via phone at (707) 462-0681.

Samuel J Thibodeaux is licensed to practice in California (license number NA3796) 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 1578544516.

Contact Information

Samuel J Thibodeaux, CRNA
271 Observatory Ave,
Ukiah, CA 95482-5757
(707) 462-0681
Not Available

Map and Direction




Provider's Profile

Full NameSamuel J Thibodeaux
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location271 Observatory Ave, Ukiah, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel J Thibodeaux graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1578544516
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 03/22/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5890722748
  • Enrollment ID: I20101117000482

Medical Identifiers

Medical identifiers for Samuel J Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578544516NPI-NPPES
39651OtherIAWELLMARK BCBS
0469627MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered D105288 (Iowa)Secondary
367500000XNurse Anesthetist, Certified Registered NA3796 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventist Health Ukiah ValleyUkiah, CAHospital
Adventist Health Howard MemorialWillits, CAHospital
Mendocino Coast District HospitalFort bragg, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Management Services Of California Inc084062604010
Willits Hospital Inc741694069755

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. Samuel J Thibodeaux allows following entities to bill medicare on his behalf.
Entity NameWillits Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356339543
PECOS PAC ID: 7416940697
Enrollment ID: O20040405000843
Entity NameAnesthesia Management Services Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003458704
PECOS PAC ID: 0840626040
Enrollment ID: O20200206002375

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. Samuel J Thibodeaux 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
Samuel J Thibodeaux, CRNA
Po Box 34120,
Reno, NV 89533-4120

Ph: (775) 747-5050		Samuel J Thibodeaux, CRNA
271 Observatory Ave,
Ukiah, CA 95482-5757

Ph: (707) 462-0681

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ukiah, CA

Carmen Nicholas Dibenedetto, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 275 Hospital Dr, Ukiah, CA 95482
Phone: 707-463-7516    

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.