Dr Timothy Scott Paulson Jr, DMD is a medicare enrolled "Dentist" provider in Williams, Arizona. His current practice location is
300 S 6th St, Williams, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 635-4441.
Dr Timothy Scott Paulson Jr is licensed to practice in Arizona (license number 122300000) 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 1790139749.
Healthcare Provider's Profile
| Full Name | Dr Timothy Scott Paulson Jr |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 300 S 6th St, Williams, Arizona |
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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: 1790139749
- Provider Enumeration Date: 04/15/2016
- Last Update Date: 12/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294014296
- Enrollment ID: I20211216001179
Medical Identifiers
Medical identifiers for Dr Timothy Scott Paulson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790139749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 122300000 (Arizona) | 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 Scott Paulson Jr allows following entities to bill medicare on his behalf.
| Entity Name | North Country Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073583472
PECOS PAC ID: 8820981053
Enrollment ID: O20040210001107 |
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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 Scott Paulson Jr 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 |
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Dr Timothy Scott Paulson Jr, DMD
Po Box 3630,
Flagstaff, AZ 86003-3630
Ph: (928) 522-9879 | Dr Timothy Scott Paulson Jr, DMD
300 S 6th St,
Williams, AZ 86046-0110
Ph: (928) 635-4441 |
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