Quinn Blake Thibodeau, LPC, NCC, M COUN in Idaho Falls, ID

Quinn Blake Thibodeau, LPC, NCC, M COUN is a medicare enrolled "Counselor - Mental Health" provider in Idaho Falls, Idaho. His current practice location is 1891 Grandview Ct, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 681-7182.

Quinn Blake Thibodeau is licensed to practice in Idaho (license number LPC-4361) 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 1619102183.

Contact Information

	Quinn Blake Thibodeau, LPC, NCC, M COUN
	1891 Grandview Ct, Idaho Falls, ID 83402-2510
	(208) 681-7182
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Quinn Blake Thibodeau
Gender	Male
Speciality	Counselor - Mental Health
Location	1891 Grandview Ct, Idaho Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619102183
Provider Enumeration Date: 05/27/2009
Last Update Date: 08/12/2009

Medicare PECOS Information:

PECOS PAC ID: 6002358371
Enrollment ID: I20240603002485

Medical Identifiers

Medical identifiers for Quinn Blake Thibodeau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619102183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-4361 (Idaho)	Primary
104100000X	Social Worker	(* (Not Available))	Secondary

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. Quinn Blake Thibodeau allows following entities to bill medicare on his behalf.

Entity Name	Pearl Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447426465 PECOS PAC ID: 0840356077 Enrollment ID: O20090312000617

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. Quinn Blake Thibodeau 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
Quinn Blake Thibodeau, LPC, NCC, M COUN 1891 Grandview Ct, Idaho Falls, ID 83402-2510 Ph: (208) 681-7182	Quinn Blake Thibodeau, LPC, NCC, M COUN 1891 Grandview Ct, Idaho Falls, ID 83402-2510 Ph: (208) 681-7182

Reviews and Comments

Counselor in Idaho Falls, ID

Desiree Jenks-asay, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 615 Hoopes Ave, Idaho Falls, ID 83401 Phone: 208-542-0352
Steven Orme, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 545 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-351-1447
Mr. Jorge Padron, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 543 3rd St, Idaho Falls, ID 83401 Phone: 208-522-6925 Fax: 208-522-6934
Zachary Wixom, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402 Phone: 208-528-5712
Jennie R Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727
Mr. Richard A Troyer, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3760 Washington Pkwy, Idaho Falls, ID 83404 Phone: 208-524-4953 Fax: 208-524-7335
Kirk Thiemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-6727

Quinn Blake Thibodeau, LPC, NCC, M COUN - Medicare Counselor in Idaho Falls, ID