Jeffensen Jay Timacdog, - Medicare Nurse Practitioner in San Diego, CA

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Jeffensen Jay Timacdog, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Diego, California. His current practice location is 6920 Miramar Rd Ste 326, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 345-0086.

Jeffensen Jay Timacdog is licensed to practice in California (license number 95008823) 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 1083103956.

Contact Information

Jeffensen Jay Timacdog,
6920 Miramar Rd Ste 326,
San Diego, CA 92121-2642
(619) 345-0086
(619) 345-0086

Map and Direction




Provider's Profile

Full NameJeffensen Jay Timacdog
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location6920 Miramar Rd Ste 326, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083103956
  • Provider Enumeration Date: 05/07/2018
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890105076
  • Enrollment ID: I20201028002170

Medical Identifiers

Medical identifiers for Jeffensen Jay Timacdog such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083103956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95008823 (California)Secondary
363LP2300XNurse Practitioner - Primary Care NP95008823 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95008823 (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. Jeffensen Jay Timacdog allows following entities to bill medicare on his behalf.
Entity NameDatnguyen, M.d., Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215977723
PECOS PAC ID: 4587668736
Enrollment ID: O20060831000265
Entity NameNightingale Clinical Care, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972159069
PECOS PAC ID: 2365871464
Enrollment ID: O20200409003495
Entity NameAce Mobile Nursing Provider Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386273316
PECOS PAC ID: 5496186694
Enrollment ID: O20200501002438
Entity NameDymphna San Diego Tms Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255951620
PECOS PAC ID: 7517389018
Enrollment ID: O20200629002123
Entity NameVillagehealth Dm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598273211
PECOS PAC ID: 2769812445
Enrollment ID: O20230417001772
Entity NameD William Nguyen Md Apc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457032732
PECOS PAC ID: 6204280373
Enrollment ID: O20230922001308

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. Jeffensen Jay Timacdog 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
Jeffensen Jay Timacdog,
9920 Pacific Heights Blvd Ste 150,
San Diego, CA 92121-4361

Ph: (619) 345-0086		Jeffensen Jay Timacdog,
6920 Miramar Rd Ste 326,
San Diego, CA 92121-2642

Ph: (619) 345-0086

Reviews and Comments


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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).

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