Timothy Michael Phelan, MD in Jacksonville, FL - Medicare Obstetrics & Gynecology

Timothy Michael Phelan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Jacksonville, Florida. His current practice location is 2525 Riverside Ave, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 388-0704.

Timothy Michael Phelan is licensed to practice in Florida (license number ME28633) 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 1639131584.

Contact Information

	Timothy Michael Phelan, MD
	2525 Riverside Ave, Jacksonville, FL 32204-4710
	(904) 388-0704
	(904) 387-9095

Map and Direction

Physician's Profile

Full Name	Timothy Michael Phelan
Gender	Male
Speciality	Obstetrics & Gynecology
Location	2525 Riverside Ave, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639131584
Provider Enumeration Date: 04/05/2006
Last Update Date: 02/26/2019

Medicare PECOS Information:

PECOS PAC ID: 6406928399
Enrollment ID: I20100616000625

Medical Identifiers

Medical identifiers for Timothy Michael Phelan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639131584	NPI	-	NPPES
372361500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	ME28633 (Florida)	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 Michael Phelan allows following entities to bill medicare on his behalf.

Entity Name	Womens Care Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078

Entity Name	Womens' Health Hospitalists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205295599 PECOS PAC ID: 1850674870 Enrollment ID: O20170216001354

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 Michael Phelan 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 Michael Phelan, MD Po Box 25317, Tampa, FL 33622-5317 Ph: (813) 286-0033	Timothy Michael Phelan, MD 2525 Riverside Ave, Jacksonville, FL 32204-4710 Ph: (904) 388-0704

Reviews and Comments

Obstetrics & Gynecology Doctors in Jacksonville, FL

Frank E Trogolo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-647-6946 Fax: 844-473-3117
Fernando Miguel Fernandez, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-268-5300 Fax: 904-268-5040
Kayla Bagwell, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 11945 San Jose Blvd, Jacksonville, FL 32223 Phone: 904-262-5333
Dr. Judy Bowers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6850
Dr. Joann G Acuna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1800, Jacksonville, FL 32207 Phone: 904-398-7684 Fax: 904-398-4998
Dr. Autumn Gabrielle Prieto, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-383-1037 Fax: 904-244-4059
Annette Laubscher, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Shircliff Way Ste 200, Jacksonville, FL 32204 Phone: 904-384-3699 Fax: 904-384-8529

Timothy Michael Phelan, MD - Medicare Obstetrics & Gynecology in Jacksonville, FL