Dr Timothy Michael Pratt, DDS is a medicare enrolled "Dentist - General Practice" provider in Killbuck, Ohio. His current practice location is
150 West Front St., Killbuck, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 276-3705.
Dr Timothy Michael Pratt is licensed to practice in Ohio (license number 17685) 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 1720083645.
Healthcare Provider's Profile
Full Name | Dr Timothy Michael Pratt |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 150 West Front St., Killbuck, Ohio |
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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: 1720083645
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183009913
- Enrollment ID: I20220915000929
Medical Identifiers
Medical identifiers for Dr Timothy Michael Pratt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720083645 | NPI | - | NPPES |
0576612 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 17685 (Ohio) | Primary |
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 Michael Pratt 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 Michael Pratt, DDS 8108 Private Road 340, Millersburg, OH 44654-9158 Ph: (330) 674-0847 | Dr Timothy Michael Pratt, DDS 150 West Front St., Killbuck, OH 44637-0459 Ph: (330) 276-3705 |
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