Dr Stephen M Timchack, PSYD, BCBA-D is a medicare enrolled "Psychologist - Clinical" provider in Kingston, Pennsylvania. He graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is
480 Pierce St, Suite 119, Kingston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 714-1981.
Dr Stephen M Timchack is licensed to practice in Pennsylvania (license number PS016722) 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 1023281557.
Healthcare Provider's Profile
Full Name | Dr Stephen M Timchack |
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Gender | Male |
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Speciality | Clinical Psychologist |
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Experience | 16 Years |
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Location | 480 Pierce St, Kingston, Pennsylvania |
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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:
- Dr Stephen M Timchack graduated from medical school in 2008
NPI Data:
- NPI Number: 1023281557
- Provider Enumeration Date: 04/04/2008
- Last Update Date: 03/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 2769646801
- Enrollment ID: I20120621000127
Medical Identifiers
Medical identifiers for Dr Stephen M Timchack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023281557 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | PC002136 (Pennsylvania) | Secondary |
103TC0700X | Psychologist - Clinical | PS016722 (Pennsylvania) | Primary |
103K00000X | Behavior Analyst | 1-01-0675 (Pennsylvania) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | PS016722 (Pennsylvania) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | PS016722 (Pennsylvania) | Secondary |
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. Dr Stephen M Timchack allows following entities to bill medicare on his behalf.
Entity Name | Stephen M. Timchack, Psyd, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699034934 PECOS PAC ID: 0840431417 Enrollment ID: O20130724000214 |
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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. Dr Stephen M Timchack 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 Stephen M Timchack, PSYD, BCBA-D 480 Pierce St, Suite 119, Kingston, PA 18704-5512 Ph: (570) 714-1981 | Dr Stephen M Timchack, PSYD, BCBA-D 480 Pierce St, Suite 119, Kingston, PA 18704-5512 Ph: (570) 714-1981 |
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