Mr Mark J Thibault, MD - Medicare Physical Medicine And Rehabilitation in Sartell, MN

Mr Mark J Thibault, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Sartell, Minnesota. He went to University Of Minnesota Medical School and graduated in 1987 and has 37 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice St Cloud Orthopedic Associates Ltd and his current practice location is 1901 Connecticut Ave S, Sartell, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 259-4100.

Mr Mark J Thibault is licensed to practice in Minnesota (license number 32514) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679507776.

Contact Information

Mr Mark J Thibault, MD
1901 Connecticut Ave S,
Sartell, MN 56377-2554
(320) 259-4100
(320) 257-5523



Physician's Profile

Full NameMr Mark J Thibault
GenderMale
SpecialityPhysical Medicine And Rehabilitation
Experience37 Years
Location1901 Connecticut Ave S, Sartell, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mark J Thibault attended and graduated from University Of Minnesota Medical School in 1987
  NPI Data:
  • NPI Number: 1679507776
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 02/24/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8729098769
  • Enrollment ID: I20060504000450

Medical Identifiers

Medical identifiers for Mr Mark J Thibault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679507776NPI-NPPES
243877100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 32514 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Cloud Orthopedic Associates Ltd014311395153

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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. Mr Mark J Thibault allows following entities to bill medicare on his behalf.
Entity NameSt Cloud Orthopedic Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083638761
PECOS PAC ID: 0143113951
Enrollment ID: O20040205000502

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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. Mr Mark J Thibault 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 AddressPractice Location Address
Mr Mark J Thibault, MD
1901 Connecticut Ave S,
Sartell, MN 56377-2554

Ph: (320) 259-4100
Mr Mark J Thibault, MD
1901 Connecticut Ave S,
Sartell, MN 56377-2554

Ph: (320) 259-4100

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Physical Medicine & Rehabilitation Doctors in Sartell, MN

Sara Ashley Botterill, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Connecticut Ave S, Sartell, MN 56377
Phone: 320-259-4100    Fax: 320-257-5523
Ramon P Sotto, MD
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 166 19th St S, Suite 101, Sartell, MN 56377
Phone: 320-230-7788    Fax: 320-230-7789

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