Dr Timothy James Redden, MD is a medicare enrolled "Urology" physician in North Las Vegas, Nevada. His current practice location is
6900 N Pecos Rd, North Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(850) 324-3713.
Dr Timothy James Redden is licensed to practice in Indiana (license number 01056617A) 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 1194915835.
Physician's Profile
| Full Name | Dr Timothy James Redden |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 6900 N Pecos Rd, North Las Vegas, Nevada |
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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: 1194915835
- Provider Enumeration Date: 07/30/2007
- Last Update Date: 07/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739360652
- Enrollment ID: I20140207001623
Medical Identifiers
Medical identifiers for Dr Timothy James Redden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194915835 | NPI | - | NPPES |
| 300033091 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 94818 (Georgia) | Secondary |
| 208800000X | Urology | 01056617A (Indiana) | 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 James Redden allows following entities to bill medicare on his behalf.
| Entity Name | Saint Joseph Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225082878
PECOS PAC ID: 8325950843
Enrollment ID: O20040708000757 |
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| Entity Name | Porter Physician Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508075680
PECOS PAC ID: 1850482407
Enrollment ID: O20070810000409 |
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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 James Redden 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 James Redden, MD
6900 N Pecos Rd,
North Las Vegas, NV 89086-4400
Ph: (850) 324-3713 | Dr Timothy James Redden, MD
6900 N Pecos Rd,
North Las Vegas, NV 89086-4400
Ph: (850) 324-3713 |
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