Donna M Thibodeau, MD | |
2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101-9412 | |
(505) 769-2141 | |
(505) 769-7337 |
Full Name | Donna M Thibodeau |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 41 Years |
Location | 2100 N Dr Martin Luther King Jr Blvd, Clovis, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053440933 | NPI | - | NPPES |
37507 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 86135 (New Mexico) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Plains Regional Medical Center Hospice | Clovis, NM | Hospice |
Plains Regional Medical Center | Clovis, NM | Hospital |
Presbyterian Hospital | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presbyterian Healthcare Services | 9234041708 | 1119 |
Entity Name | Presbyterian Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
Mailing Address | Practice Location Address |
---|---|
Donna M Thibodeau, MD Po Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-5356 | Donna M Thibodeau, MD 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101-9412 Ph: (505) 769-2141 |
Arnel Anthony S Bobadilla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101 Phone: 505-769-7577 Fax: 505-769-7595 | |
Obadias Ferrari, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Regional Medical Center (prmc), Clovis, NM 88101 Phone: 505-769-2141 Fax: 505-769-7337 | |
Ayyappa Mysore Rangaraju, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2421 W 21st St Ste B, Clovis, NM 88101 Phone: 575-769-7577 Fax: 575-742-7856 | |
Donald L Heine, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1600 W 21st St, Suite A, Clovis, NM 88101 Phone: 575-762-2121 Fax: 575-935-2121 | |
Brian E Willmon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, Ste W-8, Clovis, NM 88101 Phone: 505-763-4479 Fax: 505-763-6007 | |
Mohammad R Hassan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 W 21st St, W7, Clovis, NM 88101 Phone: 575-763-3666 Fax: 575-762-3520 |