Mr Timothy Aaron Gundlach, PA-C is a
Military Health Care Provider - Independent Duty Corpsman based in Virginia Beach, Virginia. Mr Timothy Aaron Gundlach is licensed to practice in * (Not Available) (license number ) and his current practice location is
1936 Tibbetstown Dr, Virginia Beach, Virginia. He can be reached at his office (for appointments etc.) via phone at
(757) 301-9715.
NPI number for Mr Timothy Aaron Gundlach is 1285872457 and his current mailing address is Psc 836 Box 301, Fpo, Armed Forces Europe. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285872457.
Provider's Profile
| Full Name | Mr Timothy Aaron Gundlach |
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| Gender | Male |
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| Speciality | Military Health Care Provider - Independent Duty Corpsman |
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| Location | 1936 Tibbetstown Dr, Virginia Beach, Virginia |
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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: 1285872457
- Provider Enumeration Date: 01/27/2009
- Last Update Date: 08/26/2021
Medical Identifiers
Medical identifiers for Mr Timothy Aaron Gundlach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285872457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA61120848 (Washington) | Secondary |
| 1710I1002X | Military Health Care Provider - Independent Duty Corpsman | (* (Not Available)) | 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. Mr Timothy Aaron Gundlach 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 |
|---|
Mr Timothy Aaron Gundlach, PA-C
Psc 836 Box 301,
Fpo, AE 09636-0006
Ph: () - | Mr Timothy Aaron Gundlach, PA-C
1936 Tibbetstown Dr,
Virginia Beach, VA 23454-6743
Ph: (757) 301-9715 |
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