Alicia Thibodeaux, OD in Gallup, NM - Medicare Optometry Provider

Alicia Thibodeaux, OD is a medicare enrolled "Optometrist" provider in Gallup, New Mexico. She went to University Alabama Birmingham - School Of Optometry and graduated in 2016 and has 8 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Dhhs,phs,naihs, Gallup Indian Medical Center and her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Alicia Thibodeaux is licensed to practice in Utah (license number 9836847-9934) 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 1265885990.

Contact Information

	Alicia Thibodeaux, OD
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alicia Thibodeaux
Gender	Female
Speciality	Optometry
Experience	8 Years
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alicia Thibodeaux attended and graduated from University Alabama Birmingham - School Of Optometry in 2016

NPI Data:

NPI Number: 1265885990
Provider Enumeration Date: 07/18/2016
Last Update Date: 04/17/2017

Medicare PECOS Information:

PECOS PAC ID: 0840587218
Enrollment ID: I20160928002165

Medical Identifiers

Medical identifiers for Alicia Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265885990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	9836847-9934 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gallup Indian Medical Center	Gallup, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs,phs,naihs, Gallup Indian Medical Center	3173436409	100

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. Alicia Thibodeaux allows following entities to bill medicare on her behalf.

Provider Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Alicia 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 Address	Practice Location Address
Alicia Thibodeaux, OD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: () -	Alicia Thibodeaux, OD 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Optometrist in Gallup, NM

Tayde Analy Contreras, OD Optometrist Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Dr. Farid Elie Khoury, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 S 2nd St Ste 5, Gallup, NM 87301 Phone: 505-979-0894 Fax: 505-726-2871
Eye Associates Of New Mexico Optometrist Medicare: Not Enrolled in Medicare Practice Location: 311 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-2268 Fax: 505-863-2874
Gallup Eye Group Llc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Boardman Dr, Gallup, NM 87301 Phone: 505-339-2015 Fax: 505-492-0904
Dr. Walter Ernest Balfour, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 219 W Coal Ave, Gallup, NM 87301 Phone: 505-863-6448 Fax: 505-722-6491
Jesse Allen Hogan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1326
Dr. Jacqueline Agnes Grimm, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000

Alicia Thibodeaux, OD - Medicare Optometrist in Gallup, NM