Dr Timothy G Calvin, PSYD, CAADC is a medicare enrolled "Psychologist - Clinical" provider in Ephrata, Pennsylvania. His current practice location is
1170 S State St, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 859-8000.
Dr Timothy G Calvin is licensed to practice in Pennsylvania (license number PS017320) 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 1215261961.
Healthcare Provider's Profile
Full Name | Dr Timothy G Calvin |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1170 S State St, Ephrata, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215261961
- Provider Enumeration Date: 09/29/2009
- Last Update Date: 02/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375084817
- Enrollment ID: I20240924001618
Medical Identifiers
Medical identifiers for Dr Timothy G Calvin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215261961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PS017320 (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 G Calvin allows following entities to bill medicare on his behalf.
Entity Name | Total Life Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20240209003233 |
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Entity Name | Rowan Center For Behavioral Medicine, A Psychological Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811600869 PECOS PAC ID: 7911227509 Enrollment ID: O20240925000506 |
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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 G Calvin 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 G Calvin, PSYD, CAADC 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 | Dr Timothy G Calvin, PSYD, CAADC 1170 S State St, Ephrata, PA 17522-2601 Ph: (717) 859-8000 |
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