Dr Timothy Folsom Shepard, MD - Medicare Diagnostic Radiology in Latham, NY

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Dr Timothy Folsom Shepard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Latham, New York. He went to Columbia University College Of Physicians And Surgeons and graduated in 2004 and has 21 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Millennium Medical Imaging Pc and his current practice location is 1 Northway Ln, Latham, New York. You can reach out to his office (for appointments etc.) via phone at (518) 786-1291.

Dr Timothy Folsom Shepard is licensed to practice in New York (license number 238075) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700082740.

Contact Information

Dr Timothy Folsom Shepard, MD
1 Northway Ln,
Latham, NY 12110
(518) 786-1291
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Folsom Shepard
GenderMale
SpecialityDiagnostic Radiology
Experience21 Years
Location1 Northway Ln, Latham, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Timothy Folsom Shepard attended and graduated from Columbia University College Of Physicians And Surgeons in 2004
  NPI Data:
  • NPI Number: 1700082740
  • Provider Enumeration Date: 06/26/2007
  • Last Update Date: 02/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8325162522
  • Enrollment ID: I20100825000064

Medical Identifiers

Medical identifiers for Dr Timothy Folsom Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700082740NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 238075 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lourdes HospitalBinghamton, NYHospital
Saratoga HospitalSaratoga springs, NYHospital
St Mary's HealthcareAmsterdam, NYHospital
Adirondack Medical CenterSaranac lake, NYHospital
Nathan Littauer HospitalGloversville, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Millennium Medical Imaging Pc579977691024

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 Folsom Shepard allows following entities to bill medicare on his behalf.
Entity NameRamapo Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932150935
PECOS PAC ID: 6901705060
Enrollment ID: O20040107000757
Entity NameRamapo Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093766131
PECOS PAC ID: 7719886894
Enrollment ID: O20040107000853
Entity NameMillennium Medical Imaging Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235114182
PECOS PAC ID: 5799776910
Enrollment ID: O20040518001125
Entity NameOrange Radiology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205899135
PECOS PAC ID: 2567363021
Enrollment ID: O20070524000272
Entity NameStarling Diagnostics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497397152
PECOS PAC ID: 6800224759
Enrollment ID: O20200309000374

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 Folsom Shepard 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 AddressPractice Location Address
Dr Timothy Folsom Shepard, MD
1 Northway Ln,
Latham, NY 12110

Ph: (518) 786-1291		Dr Timothy Folsom Shepard, MD
1 Northway Ln,
Latham, NY 12110

Ph: (518) 786-1291

Reviews and Comments


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Allen Herr,
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Ellen Czajka,
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Phone: 518-786-1600    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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