Dr Robert John Timothy, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Radiology" provider in Montpelier, Idaho. His current practice location is
215 S 4th St, Montpelier, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 847-0153.
Dr Robert John Timothy is licensed to practice in Utah (license number 145092-9921) 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 1811953276.
Healthcare Provider's Profile
| Full Name | Dr Robert John Timothy |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Radiology |
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| Location | 215 S 4th St, Montpelier, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811953276
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517260383
- Enrollment ID: I20161109002543
Medical Identifiers
Medical identifiers for Dr Robert John Timothy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811953276 | NPI | - | NPPES |
| 003303600 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D-3060 (Idaho) | Secondary |
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | 145092-9921 (Utah) | 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 Robert John Timothy allows following entities to bill medicare on his behalf.
| Entity Name | East Carolina University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972551919
PECOS PAC ID: 0244143246
Enrollment ID: O20031106000400 |
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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 Robert John Timothy 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 Robert John Timothy, DDS
215 S 4th St,
Montpelier, ID 83254-1591
Ph: (208) 847-0153 | Dr Robert John Timothy, DDS
215 S 4th St,
Montpelier, ID 83254-1591
Ph: (208) 847-0153 |
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