Timothy Antonio Jessie, MD - Medicare Surgery in Las Vegas, NM

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Timothy Antonio Jessie, MD is a medicare enrolled "Surgery" physician in Las Vegas, New Mexico. His current practice location is 105 Mills Ave Ste 200, Las Vegas, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 426-3795.

Timothy Antonio Jessie is licensed to practice in Indiana (license number 01076415A) 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 1679573034.

Contact Information

Timothy Antonio Jessie, MD
105 Mills Ave Ste 200,
Las Vegas, NM 87701-4169
(505) 426-3795
(505) 425-2653

Map and Direction




Physician's Profile

Full NameTimothy Antonio Jessie
GenderMale
SpecialitySurgery
Location105 Mills Ave Ste 200, Las Vegas, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679573034
  • Provider Enumeration Date: 07/28/2005
  • Last Update Date: 06/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2163499591
  • Enrollment ID: I20060315000260

Medical Identifiers

Medical identifiers for Timothy Antonio Jessie such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679573034NPI-NPPES
2501902MedicaidOH
69777233MedicaidNM
24-46612OtherOHUHC
P00144471OtherOHRRMC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 200501327 (North Carolina)Secondary
208600000XSurgery 32580 (Kansas)Secondary
208600000XSurgery 35083403 (Ohio)Secondary
208600000XSurgery D73747 (Maryland)Secondary
208600000XSurgery MD2020-0191 (New Mexico)Secondary
208600000XSurgery 01076415A (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. Timothy Antonio Jessie allows following entities to bill medicare on his behalf.
Entity NameDhp Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780949032
PECOS PAC ID: 1153570783
Enrollment ID: O20120925000775

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 Antonio Jessie 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 AddressPractice Location Address
Timothy Antonio Jessie, MD
2121 Lake Ave,
Fort Wayne, IN 46805-5100

Ph: (260) 426-5431		Timothy Antonio Jessie, MD
105 Mills Ave Ste 200,
Las Vegas, NM 87701-4169

Ph: (505) 426-3795

Reviews and Comments


Surgery Doctors in Las Vegas, NM

Dr. Teddi Swidinsky, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 108 Legion Dr Ste B, Las Vegas, NM 87701
Phone: 505-426-3795    
Dr. Humberto D Martinez, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701
Phone: 505-426-3795    Fax: 505-368-7011
Wendy Davis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 105 Mills Ave Ste 200, Las Vegas, NM 87701
Phone: 505-426-3795    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.