Dr Timothy Sean Diesel, DOM, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Albuquerque, New Mexico. His current practice location is
1240 Pennsylvania St Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 291-2040.
Dr Timothy Sean Diesel is licensed to practice in New Mexico (license number PA2009-0010) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619056553.
Healthcare Provider's Profile
Full Name | Dr Timothy Sean Diesel |
---|
Gender | Male |
---|
Speciality | Physician Assistant - Medical |
---|
Location | 1240 Pennsylvania St Ne, Albuquerque, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619056553
- Provider Enumeration Date: 11/02/2006
- Last Update Date: 07/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305999400
- Enrollment ID: I20090807000235
Medical Identifiers
Medical identifiers for Dr Timothy Sean Diesel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619056553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 765 (New Mexico) | Secondary |
363AM0700X | Physician Assistant - Medical | PA2009-0010 (New Mexico) | Primary |
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. Dr Timothy Sean Diesel 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 |
Dr Timothy Sean Diesel, DOM, PA-C 8100 Constitution Pl Ne, Albuquerque, NM 87110-7643 Ph: (505) 291-2040 | Dr Timothy Sean Diesel, DOM, PA-C 1240 Pennsylvania St Ne, Albuquerque, NM 87110-7441 Ph: (505) 291-2040 |
Reviews and Comments