Timothy Alan Niemi, MD is a medicare enrolled "Emergency Medicine" physician in Cortland, Ohio. His current practice location is
2662 Elm Rd Ne, Cortland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 841-3004.
Timothy Alan Niemi is licensed to practice in Ohio (license number 35-053422) 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 1790753036.
Physician's Profile
Full Name | Timothy Alan Niemi |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 2662 Elm Rd Ne, Cortland, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790753036
- Provider Enumeration Date: 03/11/2006
- Last Update Date: 05/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 0446398440
- Enrollment ID: I20091112000039
Medical Identifiers
Medical identifiers for Timothy Alan Niemi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790753036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 35-053422 (Ohio) | 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. Timothy Alan Niemi allows following entities to bill medicare on his behalf.
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
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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. Timothy Alan Niemi 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 |
Timothy Alan Niemi, MD 2287 State Route 305, P. O. Box 542, Cortland, OH 44410-9304 Ph: (330) 841-3004 | Timothy Alan Niemi, MD 2662 Elm Rd Ne, Cortland, OH 44410-9393 Ph: (330) 841-3004 |
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