Mr Timothy J Camasta, PAC is a
Psychiatry & Neurology - Brain Injury Medicine based in Fort Carson, Colorado. Mr Timothy J Camasta is licensed to practice in Colorado (license number PA2353) and his current practice location is
7092 Harr Ave Bldg 6492, Fort Carson, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 524-5217.
NPI number for Mr Timothy J Camasta is 1104885615 and his current mailing address is 7092 Harr Ave Bldg 6492, Fort Carson, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104885615.
Provider's Profile
| Full Name | Mr Timothy J Camasta |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Brain Injury Medicine |
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| Location | 7092 Harr Ave Bldg 6492, Fort Carson, Colorado |
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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: 1104885615
- Provider Enumeration Date: 03/22/2006
- Last Update Date: 11/13/2023
Medical Identifiers
Medical identifiers for Mr Timothy J Camasta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104885615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA12294 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 2353 (Colorado) | Secondary |
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | PA2353 (Colorado) | 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 J Camasta 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 J Camasta, PAC
7092 Harr Ave Bldg 6492,
Fort Carson, CO 80902-2190
Ph: (719) 524-5217 | Mr Timothy J Camasta, PAC
7092 Harr Ave Bldg 6492,
Fort Carson, CO 80902-2190
Ph: (719) 524-5217 |
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