Dr Timothy Kent Cragun, DO is a medicare enrolled "Dermatology" physician in Nellis Afb, Nevada. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Southern Mono Health Care District, Stephen Miller Md, Pa and his current practice location is
4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 348-3245.
Dr Timothy Kent Cragun is licensed to practice in Nevada (license number DO1722) 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 1760419881.
Physician's Profile
| Full Name | Dr Timothy Kent Cragun |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 25 Years |
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| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy Kent Cragun graduated from medical school in 1999
NPI Data:
- NPI Number: 1760419881
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880691708
- Enrollment ID: I20160907001813
Medical Identifiers
Medical identifiers for Dr Timothy Kent Cragun such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760419881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 01054132A (Indiana) | Secondary |
| 207N00000X | Dermatology | H0063845 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | 01054132A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | H0063845 (Maryland) | Secondary |
| 207N00000X | Dermatology | DO1722 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Mono Health Care District | 9830002401 | 71 |
| Stephen Miller Md, Pa | 6800837659 | 11 |
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 Kent Cragun allows following entities to bill medicare on his behalf.
| Entity Name | Southern Mono Health Care District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962444059
PECOS PAC ID: 9830002401
Enrollment ID: O20031118001160 |
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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 Kent Cragun 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 Kent Cragun, DO
2327 Winding Vw,
San Antonio, TX 78260-7263
Ph: (702) 582-4830 | Dr Timothy Kent Cragun, DO
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 348-3245 |
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