Maydew Thibault Optometry Llc is a medicare enrolled "Optometrist" provider in Medicine Lodge, Kansas. Their current practice location is
604 N Walnut, Medicine Lodge, Kansas. You can reach out to their office (for appointments etc.) via phone at
(620) 886-3222.
Maydew Thibault Optometry Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Maydew Thibault Optometry Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720132715.
Healthcare Provider's Profile
Full Name | Maydew Thibault Optometry Llc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 604 N Walnut, Medicine Lodge, Kansas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720132715
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 05/07/2013
Medicare PECOS Information:
- PECOS PAC ID: 9436126703
- Enrollment ID: O20100930070019
Medical Identifiers
Medical identifiers for Maydew Thibault Optometry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720132715 | NPI | - | NPPES |
20051988B | Medicaid | KS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
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. Maydew Thibault Optometry Llc 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 |
Maydew Thibault Optometry Llc Po Box 129, 604 N Walnut, Medicine Lodge, KS 67104 Ph: (620) 886-3222 | Maydew Thibault Optometry Llc 604 N Walnut, Medicine Lodge, KS 67104 Ph: (620) 886-3222 |
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