Dr Mia Thouvenot, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Highland, Illinois. Her current practice location is
12866 Troxler Ave, Highland, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 236-7444.
Dr Mia Thouvenot is licensed to practice in Illinois (license number 016.005750) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396173753.
Healthcare Provider's Profile
| Full Name | Dr Mia Thouvenot |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 12866 Troxler Ave, Highland, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mia Thouvenot attended and graduated from in
NPI Data:
- NPI Number: 1396173753
- Provider Enumeration Date: 10/23/2013
- Last Update Date: 07/02/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Mia Thouvenot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396173753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 2013034538 (Missouri) | Secondary |
| 213E00000X | Podiatrist | 016.005750 (Illinois) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2014021282 (Missouri) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 016.005750 (Illinois) | 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. Dr Mia Thouvenot 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 |
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Dr Mia Thouvenot, DPM
5139 Mattis Rd Ste 102,
Saint Louis, MO 63128-2250
Ph: (314) 909-1920 | Dr Mia Thouvenot, DPM
12866 Troxler Ave,
Highland, IL 62249
Ph: (618) 236-7444 |
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