Mr Timothy C Doughty, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Selma, California. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1750314225
- Provider Enumeration Date: 07/08/2006
- Last Update Date: 09/10/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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