Mr Timothy C Doughty, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Selma, California. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Amsurg Fresno Ca Anesthesia Lp and his current practice location is
1141 Rose Avenue, Selma, California. You can reach out to his office (for appointments etc.) via phone at
(559) 891-1000.
Mr Timothy C Doughty is licensed to practice in California (license number NA3913) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1750314225.
Provider's Profile
| Full Name | Mr Timothy C Doughty |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 22 Years |
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| Location | 1141 Rose Avenue, Selma, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Timothy C Doughty graduated from nursing school in 2002
NPI Data:
- NPI Number: 1750314225
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 09/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496743601
- Enrollment ID: I20100803000178
Medical Identifiers
Medical identifiers for Mr Timothy C Doughty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750314225 | NPI | - | NPPES |
| 200305650A | Medicaid | KS | |
| 919046300 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 145155 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 145155 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA3913 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Amsurg Fresno Ca Anesthesia Lp | 8729208566 | 14 |
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. Mr Timothy C Doughty allows following entities to bill medicare on his behalf.
| Entity Name | Community Foundation Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387 |
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| Entity Name | Amsurg Fresno Ca Anesthesia Lp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104246065
PECOS PAC ID: 8729208566
Enrollment ID: O20140930001363 |
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| Entity Name | Regional Anesthesia Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811442874
PECOS PAC ID: 7810275096
Enrollment ID: O20161021001369 |
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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 C Doughty 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 |
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Mr Timothy C Doughty, CRNA
2420 Howard St,
Kingsburg, CA 93613-2733
Ph: (816) 585-1850 | Mr Timothy C Doughty, CRNA
1141 Rose Avenue,
Selma, CA 93662-2640
Ph: (559) 891-1000 |
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