Timothy R Pangborn, MD is a
Emergency Medicine physician based in Crescent City, California. Timothy R Pangborn is licensed to practice in California (license number G39084) and his current practice location is 800 E Washington Blvd, Crescent City, California. He can be reached at his office (for appointments etc.) via phone at
(707) 464-8511.
NPI number for Timothy R Pangborn is 1548286248 and his current mailing address is 350 W Cedar St, 4th Floor, Pensacola, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548286248.
Physician's Profile
| Full Name | Timothy R Pangborn |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 800 E Washington Blvd, Crescent City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548286248
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 06/18/2015
Medical Identifiers
Medical identifiers for Timothy R Pangborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548286248 | NPI | - | NPPES |
| 00G390840 | Other | CA | BLUE SHIELD |
| 00G390840 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | G39084 (California) | Primary |
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 R Pangborn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy R Pangborn, MD
350 W Cedar St, 4th Floor,
Pensacola, FL 32502-4910
Ph: (800) 444-7009 | Timothy R Pangborn, MD
800 E Washington Blvd,
Crescent City, CA 95531-8359
Ph: (707) 464-8511 |
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