Timothy John Connelly, in Salem, OR - Medicare Anesthesiology

Timothy John Connelly, is a medicare enrolled "Anesthesiology" physician in Salem, Oregon. His current practice location is 5125 Skyline Rd S, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 566-4520.

Timothy John Connelly is licensed to practice in Oregon (license number OR MD22748) 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 1750492559.

Contact Information

	Timothy John Connelly,
	5125 Skyline Rd S, Salem, OR 97306-9427
	(503) 566-4520
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy John Connelly
Gender	Male
Speciality	Anesthesiology
Location	5125 Skyline Rd S, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750492559
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/12/2007

Medicare PECOS Information:

PECOS PAC ID: 9335170992
Enrollment ID: I20050824000390

Medical Identifiers

Medical identifiers for Timothy John Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750492559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	OR MD22748 (Oregon)	Primary
208VP0000X	Pain Medicine - Pain Medicine	OR MD22748 (Oregon)	Secondary

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 John Connelly allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 John Connelly 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 John Connelly, 5125 Skyline Road S, Salem, OR 97306-9427 Ph: () -	Timothy John Connelly, 5125 Skyline Rd S, Salem, OR 97306-9427 Ph: (503) 566-4520

Reviews and Comments

Anesthesiology Doctors in Salem, OR

Dr. Melvin D Wade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2525 12th St Se Ste 110, Salem, OR 97302 Phone: 503-364-3704 Fax: 503-399-9722
Dr. William J Monson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3973 Croisan Mountain Dr S, Salem, OR 97302 Phone: 503-559-0501
Dr. Linda K Stevenson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1925 Hillwood Ct S, Salem, OR 97302 Phone: 503-364-9594 Fax: 503-364-9594
John A. Borgoy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Kaiser Permanente Skyline Clinic, Salem, OR 97306 Phone: 503-566-4520 Fax: 503-566-4557
Dr. Poly Chen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2480 Liberty St Ne, Suite 110, Salem, OR 97301 Phone: 503-371-1010
Dr. Angela N. Anderson, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-3334
Youngeun Cho, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2480 Liberty St Ne Ste 180, Salem, OR 97301 Phone: 503-371-1010

Timothy John Connelly, - Medicare Anesthesiology in Salem, OR