Mrs Courtney Lynn Thibeault, DNP | |
1 Evergreen Dr, East Providence, RI 02914-1506 | |
(401) 438-3250 | |
Not Available |
Full Name | Mrs Courtney Lynn Thibeault |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1 Evergreen Dr, East Providence, Rhode Island |
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 |
---|---|---|---|
1346748043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | RN2274057 (Massachusetts) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | APRN01781 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blueprint Healthcare Llc | 1153665062 | 13 |
Entity Name | Blueprint Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467927483 PECOS PAC ID: 1153665062 Enrollment ID: O20200626000337 |
Mailing Address | Practice Location Address |
---|---|
Mrs Courtney Lynn Thibeault, DNP Po Box 2153 Dept 40338, Birmingham, AL 35287-9386 Ph: () - | Mrs Courtney Lynn Thibeault, DNP 1 Evergreen Dr, East Providence, RI 02914-1506 Ph: (401) 438-3250 |
Danielle Barry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 Fax: 401-349-4373 | |
Taylor Selke, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Massasoit Ave Ste 305, East Providence, RI 02914 Phone: 401-294-0451 | |
Ann Garris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Veterans Memorial Pkwy, Bldg. 4, East Providence, RI 02914 Phone: 401-435-3400 Fax: 401-435-3586 | |
Cara Beth Cavazza, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Office Pkwy, East Providence, RI 02914 Phone: 401-435-3325 | |
Sarah Madeline Bertsch, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kettle Point Ave, East Providence, RI 02914 Phone: 401-457-1500 | |
Kimberly Jill Gallucci, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Veterans Memorial Pkwy Ste 7a, East Providence, RI 02914 Phone: 401-499-8187 | |
Vivian Ngoc-vy Bui, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Warren Ave Ste 400, East Providence, RI 02914 Phone: 401-331-1221 |