Dr Timothy J Carnevale, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dunmore, Pennsylvania. His current practice location is
502 N Blakely St, Dunmore, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 342-8434.
Dr Timothy J Carnevale is licensed to practice in Pennsylvania (license number PS019176) 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 1356888341.
Healthcare Provider's Profile
Full Name | Dr Timothy J Carnevale |
---|
Gender | Male |
---|
Speciality | Psychologist - Clinical |
---|
Location | 502 N Blakely St, Dunmore, Pennsylvania |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356888341
- Provider Enumeration Date: 01/27/2017
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123431491
- Enrollment ID: I20210105001614
Medical Identifiers
Medical identifiers for Dr Timothy J Carnevale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356888341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PS019176 (Pennsylvania) | 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. Dr Timothy J Carnevale allows following entities to bill medicare on his behalf.
Entity Name | Mary B Berge |
---|
Entity Type | Practitioner - Clinical Psychologist |
---|
Entity Identifiers | NPI Number: 1982654935 PECOS PAC ID: 7113067539 Enrollment ID: I20091216000199 |
---|
Entity Name | Tiffany Griffiths Psy D & Associates Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1649507831 PECOS PAC ID: 5496907776 Enrollment ID: O20121213000057 |
---|
Entity Name | Integrated Behavioral Health Services Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1225782378 PECOS PAC ID: 5890179675 Enrollment ID: O20220827000246 |
---|
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 J Carnevale 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 J Carnevale, PSYD 1251 Wyoming Ave, Exeter, PA 18643-1434 Ph: (703) 428-4345 | Dr Timothy J Carnevale, PSYD 502 N Blakely St, Dunmore, PA 18512-1943 Ph: (570) 342-8434 |
Reviews and Comments