Dr Timothy Kent Cragun, DO is a medicare enrolled "Dermatology" physician in Nellis Afb, Nevada. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1760419881
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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