Travis Lane Thibault, - Medicare Nurse Practitioner in De Soto, KS

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Travis Lane Thibault, is a medicare enrolled "Nurse Practitioner - Family" in De Soto, Kansas. His current practice location is 8438 Timber Ridge Dr, De Soto, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 260-9250.

Travis Lane Thibault is licensed to practice in Kansas (license number 78038) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861990566.

Contact Information

Travis Lane Thibault,
8438 Timber Ridge Dr,
De Soto, KS 66018-7122
(913) 260-9250
Not Available

Map and Direction




Provider's Profile

Full NameTravis Lane Thibault
GenderMale
SpecialityNurse Practitioner - Family
Location8438 Timber Ridge Dr, De Soto, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861990566
  • Provider Enumeration Date: 01/28/2018
  • Last Update Date: 07/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224391537
  • Enrollment ID: I20180503001236

Medical Identifiers

Medical identifiers for Travis Lane Thibault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861990566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2018001755 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 78038 (Kansas)Primary

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. Travis Lane Thibault allows following entities to bill medicare on his behalf.
Entity NameEm Specialists Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801112743
PECOS PAC ID: 1153452644
Enrollment ID: O20100628000352
Entity NameKansas Medical Professionals Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629778766
PECOS PAC ID: 6800261181
Enrollment ID: O20230419001909
Entity NameEmergency Medicine Services Of Ks, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649979451
PECOS PAC ID: 4385009695
Enrollment ID: O20230420000588

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. Travis Lane Thibault 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
Travis Lane Thibault,
Kansas Emergency Physicians Llc, 9100 W 74th St,
Shawnee Mission, KS 66204

Ph: (913) 260-9250		Travis Lane Thibault,
8438 Timber Ridge Dr,
De Soto, KS 66018-7122

Ph: (913) 260-9250

Reviews and Comments


Nurse Practitioner Nurses in De Soto, KS

Hanna May Bates-crosby,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10301 Astra Pkwy, De Soto, KS 66018
Phone: 443-928-4650    
William Dolan, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8960 Commerce Dr Ste 4e, De Soto, KS 66018
Phone: 913-789-3961    Fax: 913-583-3667
Nana Amma Asante,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 33060 W 88th Ter, De Soto, KS 66018
Phone: 913-286-8811    

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.