Dr Colleen Lyn Thibaut, DO | |
1225 E Garrison Blvd, Gastonia, NC 28054-5115 | |
(704) 865-7416 | |
(704) 865-7232 |
Full Name | Dr Colleen Lyn Thibaut |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 13 Years |
Location | 1225 E Garrison Blvd, Gastonia, North Carolina |
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 |
---|---|---|---|
1669766721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101019426 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 2015-01221 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Caromont Medical Group Inc | 3577476258 | 347 |
Entity Name | Caromont Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356314272 PECOS PAC ID: 3577476258 Enrollment ID: O20031201000070 |
Mailing Address | Practice Location Address |
---|---|
Dr Colleen Lyn Thibaut, DO 1225 E Garrison Blvd, Gastonia, NC 28054-5115 Ph: (704) 865-7416 | Dr Colleen Lyn Thibaut, DO 1225 E Garrison Blvd, Gastonia, NC 28054-5115 Ph: (704) 865-7416 |
Dr. Irvin R Bonnin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 991 W Hudson Blvd, Gastonia, NC 28052 Phone: 704-853-5000 Fax: 704-862-6194 | |
Carolin Haeusler Rossavik, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Kelvin C Harris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2680 Aberdeen Blvd, Suite A, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Dr. Erica Cunill, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 991 W Hudson Blvd, Gastonia, NC 28052 Phone: 704-853-5000 Fax: 704-862-5353 | |
Tamara Allen Means, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-865-2229 Fax: 704-865-2811 | |
Cortney Raye Booth, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Summit Crossing Pl Ste 108a, Gastonia, NC 28054 Phone: 704-671-5313 | |
Dr. Chanel Bonds Roper, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1225 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5343 |