Timothy Gillespie, is a medicare enrolled "Social Worker - Clinical" provider in Mantachie, Mississippi. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Mantachie Rural Health Care, Inc and his current practice location is
5500 Highway 363, Mantachie, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 282-4335.
Timothy Gillespie is licensed to practice in Mississippi (license number C7558) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215312335.
Healthcare Provider's Profile
Full Name | Timothy Gillespie |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 14 Years |
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Location | 5500 Highway 363, Mantachie, Mississippi |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Timothy Gillespie graduated from medical school in 2011
NPI Data:
- NPI Number: 1215312335
- Provider Enumeration Date: 07/30/2015
- Last Update Date: 07/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 4082915442
- Enrollment ID: I20151209001991
Medical Identifiers
Medical identifiers for Timothy Gillespie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215312335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C7558 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mantachie Rural Health Care, Inc | 2567372121 | 8 |
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 Gillespie allows following entities to bill medicare on his behalf.
Entity Name | Mantachie Rural Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033169545 PECOS PAC ID: 2567372121 Enrollment ID: O20040921000610 |
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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 Gillespie 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 |
Timothy Gillespie, Po Box 40, Mantachie, MS 38855-0040 Ph: () - | Timothy Gillespie, 5500 Highway 363, Mantachie, MS 38855-7197 Ph: (662) 282-4335 |
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