Matthew Thibodeaux, OD in Boutte, LA - Medicare Optometrist Provider

Matthew Thibodeaux, OD is a medicare enrolled "Optometrist" provider in Boutte, Louisiana. His current practice location is 13322 Highway 90 Ste L, Boutte, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 785-8484.

Matthew Thibodeaux is licensed to practice in Louisiana (license number 1859-793AT) 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 1194249086.

Contact Information

	Matthew Thibodeaux, OD
	13322 Highway 90 Ste L, Boutte, LA 70039-3010
	(985) 785-8484
	(985) 785-8483

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Thibodeaux
Gender	Male
Speciality	Optometrist
Location	13322 Highway 90 Ste L, Boutte, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194249086
Provider Enumeration Date: 08/01/2017
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 6709143217
Enrollment ID: I20171207002000

Medical Identifiers

Medical identifiers for Matthew Thibodeaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194249086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1859-793AT (Louisiana)	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. Matthew Thibodeaux allows following entities to bill medicare on his behalf.

Provider Name	Eyecare Providers, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477628154 PECOS PAC ID: 2567359318 Enrollment ID: O20040304000481

Provider Name	Artis Beatty A Professional Optometry Corporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912416355 PECOS PAC ID: 3678831187 Enrollment ID: O20171211000692

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. Matthew Thibodeaux 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
Matthew Thibodeaux, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899	Matthew Thibodeaux, OD 13322 Highway 90 Ste L, Boutte, LA 70039-3010 Ph: (985) 785-8484

Reviews and Comments

Optometrist in Boutte, LA

Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13322 Highway 90 Ste L, Boutte, LA 70039 Phone: 985-807-1373
St. Charles Vision Outlet Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13322 Highway 90, Suite L, Boutte, LA 70039 Phone: 985-785-8484 Fax: 985-785-8483
St. Charles Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13322 Highway 90, Suite L, Boutte, LA 70039 Phone: 985-785-8484 Fax: 985-785-8483
Dr. Janie Tran, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13001 Highway 90, Boutte, LA 70039 Phone: 985-785-0855

Matthew Thibodeaux, OD - Medicare Optometrist in Boutte, LA