Lia Kay Thibodaux, PHD in Winston Salem, NC - Medicare Psychologist Provider

Lia Kay Thibodaux, PHD is a medicare enrolled "Psychologist" provider in Winston Salem, North Carolina. Her current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 716-2261.

Lia Kay Thibodaux is licensed to practice in Washington (license number 61029049) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891384681.

Contact Information

	Lia Kay Thibodaux, PHD
	Medical Center Blvd, Winston Salem, NC 27157-3901
	(336) 716-2261
	(336) 716-9810

Map and Direction

Healthcare Provider's Profile

Full Name	Lia Kay Thibodaux
Gender	Female
Speciality	Psychologist
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891384681
Provider Enumeration Date: 01/15/2021
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2961818737
Enrollment ID: I20210303001648

Medical Identifiers

Medical identifiers for Lia Kay Thibodaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891384681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6003 (North Carolina)	Secondary
103T00000X	Psychologist	61029049 (Washington)	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. Lia Kay Thibodaux allows following entities to bill medicare on her behalf.

Entity Name	Seattle Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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. Lia Kay Thibodaux 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
Lia Kay Thibodaux, PHD Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2261	Lia Kay Thibodaux, PHD Medical Center Blvd, Winston Salem, NC 27157-3901 Ph: (336) 716-2261

Reviews and Comments

Psychologist in Winston Salem, NC

Dr. Jerry W Noble, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, Suite 510, Winston Salem, NC 27104 Phone: 336-748-0809 Fax: 336-748-0809
Mrs. Brittany Johnson Todd, MAED, NCC, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4142 Robinhood Rd, Winston Salem, NC 27106 Phone: 843-833-1998
Dr. Gustavo Rafael Grodnitzky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 736 Mitch Dr, Winston Salem, NC 27104 Phone: 336-659-8058
Mrs. Crystal Ann Ray, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-713-4500 Fax: 336-713-4501
Dr. William James Mccann, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, #404, Winston Salem, NC 27104 Phone: 336-671-4227
Dr. Timothy Wayne Crawford, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Northgate Park Dr, Winston Salem, NC 27106 Phone: 336-499-3622 Fax: 336-499-3624
Gail Hounshell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-774-2400

Lia Kay Thibodaux, PHD - Medicare Psychologist in Winston Salem, NC