Dr Timothy B Boling, PHD is a medicare enrolled "Psychologist" provider in Memphis, Tennessee. He graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Waco Psychological Associates and his current practice location is
1030 Jefferson Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 523-8990.
Dr Timothy B Boling is licensed to practice in * (Not Available) (license number ) 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 1457484891.
Healthcare Provider's Profile
| Full Name | Dr Timothy B Boling |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 1030 Jefferson Ave, Memphis, Tennessee |
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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. |
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Medical Education and Training:
- Dr Timothy B Boling graduated from medical school in 2013
NPI Data:
- NPI Number: 1457484891
- Provider Enumeration Date: 03/14/2007
- Last Update Date: 07/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 7012236813
- Enrollment ID: I20220131000298
Medical Identifiers
Medical identifiers for Dr Timothy B Boling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457484891 | NPI | - | NPPES |
| 30615058 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Waco Psychological Associates | 7810078920 | 11 |
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 Timothy B Boling allows following entities to bill medicare on his behalf.
| Entity Name | Waco Psychological Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073566584
PECOS PAC ID: 7810078920
Enrollment ID: O20080115000429 |
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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 Timothy B Boling 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 B Boling, PHD
1030 Jefferson Ave,
Memphis, TN 38104-2127
Ph: (901) 523-8990 | Dr Timothy B Boling, PHD
1030 Jefferson Ave,
Memphis, TN 38104-2127
Ph: (901) 523-8990 |
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