ALEXA RAE THIBODEAU MD
NPI 1881188407
Ophthalmology in Ann Arbor, MI
About Alexa Rae Thibodeau Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXA RAE THIBODEAU MD (NPI 1881188407) is an individual ophthalmology provider in Ann Arbor, Michigan, licensed in Michigan (4301506450) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexa Rae Thibodeau Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Alexa Thibodeau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48105
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alexa Thibodeau's NPI number?
The NPI number for Alexa Thibodeau is 1881188407. It was assigned to this individual provider in the NPPES registry on June 18, 2018.
Where is Alexa Thibodeau located?
Alexa Thibodeau practices at 1000 Wall St, Ann Arbor, MI 48105. The listed phone number is (734) 764-4190.
What is Alexa Thibodeau's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Alexa Thibodeau enrolled in Medicare?
Yes. Alexa Thibodeau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Alexa Thibodeau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Thibodeau reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexa Thibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alexa Thibodeau was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alexa Rae Thibodeau, MD · NPI 1881188407
Ophthalmology physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since June 18, 2018.
## Identity
- **NPI:** 1881188407 (Entity type: Individual)
- **Enumerated:** June 18, 2018
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 4301506450 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 WALL ST, Ann Arbor, MI 48105-1912
- **Phone:** (734) 764-4190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** December 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1881188407) · Data from the CMS NPPES public registry.