Mr Mark J Thibault, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sartell, Minnesota. He went to University Of Minnesota Medical School and graduated in 1987 and has 37 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice St Cloud Orthopedic Associates Ltd and his current practice location is
1901 Connecticut Ave S, Sartell, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 259-4100.
Mr Mark J Thibault is licensed to practice in Minnesota (license number 32514) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679507776.
Physician's Profile
Full Name | Mr Mark J Thibault |
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Gender | Male |
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Speciality | Physical Medicine And Rehabilitation |
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Experience | 37 Years |
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Location | 1901 Connecticut Ave S, Sartell, Minnesota |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Mark J Thibault attended and graduated from University Of Minnesota Medical School in 1987
NPI Data:
- NPI Number: 1679507776
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 02/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729098769
- Enrollment ID: I20060504000450
Medical Identifiers
Medical identifiers for Mr Mark J Thibault such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679507776 | NPI | - | NPPES |
243877100 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 32514 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Cloud Orthopedic Associates Ltd | 0143113951 | 52 |
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. Mr Mark J Thibault allows following entities to bill medicare on his behalf.
Entity Name | St Cloud Orthopedic Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083638761 PECOS PAC ID: 0143113951 Enrollment ID: O20040205000502 |
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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. Mr Mark J Thibault 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 |
Mr Mark J Thibault, MD 1901 Connecticut Ave S, Sartell, MN 56377-2554 Ph: (320) 259-4100 | Mr Mark J Thibault, MD 1901 Connecticut Ave S, Sartell, MN 56377-2554 Ph: (320) 259-4100 |
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