Mark Thibert, MD is a medicare enrolled "Internal Medicine" physician in Prineville, Oregon. His current practice location is
375 Nw Beaver St Ste 101, Prineville, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 383-3005.
Mark Thibert is licensed to practice in Oregon (license number MD169232) 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 1225104235.
Physician's Profile
Full Name | Mark Thibert |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 375 Nw Beaver St Ste 101, Prineville, Oregon |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225104235
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618993593
- Enrollment ID: I20240511000268
Medical Identifiers
Medical identifiers for Mark Thibert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225104235 | NPI | - | NPPES |
500678702 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD169232 (Oregon) | Secondary |
207Q00000X | Family Medicine | 5190415-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | MD00048052 (Washington) | Secondary |
207R00000X | Internal Medicine | MD169232 (Oregon) | 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. Mark Thibert allows following entities to bill medicare on his behalf.
Entity Name | Mosaic Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083633184 PECOS PAC ID: 5395653497 Enrollment ID: O20040528001371 |
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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. Mark Thibert 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 |
Mark Thibert, MD Po Box 4228, Portland, OR 97208-4228 Ph: (541) 383-3005 | Mark Thibert, MD 375 Nw Beaver St Ste 101, Prineville, OR 97754-1802 Ph: (541) 383-3005 |
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