Dr Timothy Louis Gendron, MD is a
Psychiatry & Neurology - Psychiatry physician based in West St Paul, Minnesota. Dr Timothy Louis Gendron is licensed to practice in Minnesota (license number 56058) and his current practice location is 149 Thompson Ave E Ste 150, West St Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 450-0860.
NPI number for Dr Timothy Louis Gendron is 1316968985 and his current mailing address is 4240 Park Glen Rd, St Louis Park, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316968985.
Physician's Profile
| Full Name | Dr Timothy Louis Gendron |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 149 Thompson Ave E Ste 150, West St Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316968985
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 06/27/2024
Medical Identifiers
Medical identifiers for Dr Timothy Louis Gendron such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316968985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD10047 (Rhode Island) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 205100 (Massachusetts) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 56058 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 69137-20 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C173229 (California) | Secondary |
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 Louis Gendron is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Timothy Louis Gendron, MD
4240 Park Glen Rd,
St Louis Park, MN 55416-5427
Ph: (612) 925-6033 | Dr Timothy Louis Gendron, MD
149 Thompson Ave E Ste 150,
West St Paul, MN 55118-3238
Ph: (651) 450-0860 |
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