Timothy Robert Woodean, DC is a medicare enrolled "Chiropractor" provider in Wilson, New York. His current practice location is
638 Lake St Ste 3, Wilson, New York. You can reach out to his office (for appointments etc.) via phone at
(716) 751-2222.
Timothy Robert Woodean is licensed to practice in New York (license number 13855) 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 1053140954.
Healthcare Provider's Profile
| Full Name | Timothy Robert Woodean |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 638 Lake St Ste 3, Wilson, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1053140954
- Provider Enumeration Date: 07/29/2024
- Last Update Date: 01/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284175902
- Enrollment ID: I20240923000510
Medical Identifiers
Medical identifiers for Timothy Robert Woodean such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053140954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 13855 (New York) | Primary |
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. Timothy Robert Woodean allows following entities to bill medicare on his behalf.
| Provider Name | Complete Care Chiropractic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1386085454
PECOS PAC ID: 4486888948
Enrollment ID: O20131016001073 |
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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. Timothy Robert Woodean 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 |
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Timothy Robert Woodean, DC
4233 Cambria Wilson Rd,
Lockport, NY 14094-9797
Ph: (716) 243-5136 | Timothy Robert Woodean, DC
638 Lake St Ste 3,
Wilson, NY 14172-9600
Ph: (716) 751-2222 |
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