Timothy George Dutra, DPM - Medicare Orthopaedic Surgery in San Leandro, CA

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Timothy George Dutra, DPM is a medicare enrolled "Orthopaedic Surgery - Foot And Ankle Surgery" physician in San Leandro, California. His current practice location is 13847 E 14th St, #110a, San Leandro, California. You can reach out to his office (for appointments etc.) via phone at (510) 351-7122.

Timothy George Dutra is licensed to practice in California (license number E33830) 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 1588650162.

Contact Information

Timothy George Dutra, DPM
13847 E 14th St, #110a,
San Leandro, CA 94578-2632
(510) 351-7122
(510) 351-1797

Map and Direction




Physician's Profile

Full NameTimothy George Dutra
GenderMale
SpecialityOrthopaedic Surgery - Foot And Ankle Surgery
Location13847 E 14th St, San Leandro, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588650162
  • Provider Enumeration Date: 09/20/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4789847476
  • Enrollment ID: I20120516000297

Medical Identifiers

Medical identifiers for Timothy George Dutra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588650162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery E33830 (California)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 George Dutra allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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 George Dutra 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 George Dutra, DPM
13847 E 14th St, #110a,
San Leandro, CA 94578-2632

Ph: (510) 351-7122		Timothy George Dutra, DPM
13847 E 14th St, #110a,
San Leandro, CA 94578-2632

Ph: (510) 351-7122

Reviews and Comments


Orthopaedic Surgery Doctors in San Leandro, CA

Jill Diane Smith Forster, M.D.
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Phone: 510-454-1000    
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Dr. Clarence A. Boyd Jr., M.D.
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Practice Location: 13847 E 14th St, Suite 106, San Leandro, CA 94578
Phone: 510-483-3191    Fax: 510-483-3436
Bruce David Rodriguez, M.D.
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Bradford Burr Kraetzer, M.D.
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Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    
Dr. Adrian Douglas Hinman, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 Merced St, San Leandro, CA 94577
Phone: 510-454-1000    

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.