Dr Timothy A Nydam, MD in Fort Polk, LA - Medicare Emergency Medicine

Dr Timothy A Nydam, MD is a medicare enrolled "Emergency Medicine" physician in Fort Polk, Louisiana. His current practice location is 1585 3rd St, Fort Polk, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 531-3701.

Dr Timothy A Nydam is licensed to practice in South Dakota (license number 10115) 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 1972714533.

Contact Information

	Dr Timothy A Nydam, MD
	1585 3rd St, Fort Polk, LA 71459-5102
	(337) 531-3701
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy A Nydam
Gender	Male
Speciality	Emergency Medicine
Location	1585 3rd St, Fort Polk, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972714533
Provider Enumeration Date: 05/25/2007
Last Update Date: 11/02/2021

Medicare PECOS Information:

PECOS PAC ID: 5698082089
Enrollment ID: I20150917000948

Medical Identifiers

Medical identifiers for Dr Timothy A Nydam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972714533	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	04-37803 (Kansas)	Secondary
207P00000X	Emergency Medicine	10115 (South Dakota)	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 A Nydam allows following entities to bill medicare on his behalf.

Entity Name	Vep Hutchinson Emergency Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669879110 PECOS PAC ID: 5092031054 Enrollment ID: O20150310001308

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 A Nydam 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 A Nydam, MD 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3701	Dr Timothy A Nydam, MD 1585 3rd St, Fort Polk, LA 71459-5102 Ph: (337) 531-3701

Reviews and Comments

Emergency Medicine Doctors in Fort Polk, LA

Gerard Tiffault, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 240-351-9565
Celeste A Lujan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Building 285, Fort Polk, LA 71459 Phone: 337-531-2008
Stephen Brooke Cox, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011
Victor M. Camacho, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3701
Dr. Laurel Ashlin Thurston, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3368
Dr. Dane Hamilton Nerad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011
Dr. Paul Joseph Schonbrun, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Emergency Department, Fort Polk, LA 71459 Phone: 337-531-3368

Dr Timothy A Nydam, MD - Medicare Emergency Medicine in Fort Polk, LA