Maydew Thibault Optometry LLC
A Medicare group practice based in Medicine Lodge, KS: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 9436126703), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9436126703
- Provider type
- DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
- Enrolled in
- KS
- Enrollments
- 4
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040915000796 | KS | Part B Supplier - Clinic/Group Practice | 1740343276 |
| O20111101000703 | KS | DME Supplier - Physician - Optometrist | 1356638662 |
| O20100930017763 | KS | DME Supplier - Physician - Optometrist | 1740343276 |
| O20100930070019 | KS | DME Supplier - Physician - Optometrist | 1720132715 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Maydew Thibault Optometry LLC
- Optometrist
- Kingman, KS
- NPI 1356638662
-
Maydew Thibault Optometry LLC
- Optometrist
- Medicine Lodge, KS
- NPI 1720132715
-
Maydew Thibault Optometry LLC
- Optometrist
- Pratt, KS
- NPI 1740343276
Practice locations
- Kingman, KS2
- Pratt, KS2
- Medicine Lodge, KS2
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (4).
-
Troy O Maydew, OD
- Optometrist
- Pratt, KS
- NPI 1144396458
-
Andrew W Piester, O.D.
- Optometrist
- Kingman, KS
- NPI 1689921553
-
Taylor Renz, OD
- Optometrist
- Searcy, AR
- NPI 1497373088
-
Seth Alan Thibault, OD
- Optometrist
- Pratt, KS
- NPI 1174695100
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.