CASSANDRA THIBAULT
NPI 1902408602
Physician Assistant in Boston, MA

Q: What is Cassandra Thibault's NPI number?

The NPI number for Cassandra Thibault is 1902408602. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Q: What is Cassandra Thibault's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment

800 WASHINGTON ST, BOSTON, MA 02111(617) 636-9817 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Cassandra Thibault NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASSANDRA THIBAULT (NPI 1902408602) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1902408602

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCASSANDRA THIBAULT

Location Address800 WASHINGTON STBoston, MA 02111-1552

Mailing Address70 Hope AveWaltham, MA 02453-2732

Phone(617) 636-9817

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 9, 2020

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1902408602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

800 WASHINGTON ST, Boston, MA 02111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cassandra Thibault 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.

PECOS PAC ID2062808934

PECOS Enrollment IDI20220331002073

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tufts Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220116

Location800 Washington StreetBoston, MA 02111 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARON DICKSTEIN M.D.

Internal Medicine (Gastroenterology)

800 WASHINGTON ST, BOX 233
BOSTON, MA 02111

Suffolk County (617) 636-5883

THOMAS E BIGELOW

Technician/Technologist (Optician)

800 WASHINGTON ST, BOX 450
BOSTON, MA 02111

Suffolk County (617) 636-5857

SARAH MERRIMAN PERSING M.D.

Plastic Surgery