Timothy B Different, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, TX

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Timothy B Different, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Texas. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mother Frances Hospital Jacksonville and his current practice location is 2026 S Jackson St, Jacksonville, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 586-5678.

Timothy B Different is licensed to practice in Texas (license number AP140173) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730643032.

Contact Information

Timothy B Different, CRNA
2026 S Jackson St,
Jacksonville, TX 75766-5822
(903) 586-5678
(903) 541-4679

Map and Direction




Provider's Profile

Full NameTimothy B Different
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location2026 S Jackson St, Jacksonville, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy B Different graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1730643032
  • Provider Enumeration Date: 01/31/2019
  • Last Update Date: 05/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5092054692
  • Enrollment ID: I20190226001469

Medical Identifiers

Medical identifiers for Timothy B Different such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730643032NPI-NPPES
769641OtherTXMEDICARE
8KP517OtherTXBCBS
394643601MedicaidTX
P02210751OtherTXMEDICARE RAIL ROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP140173 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Mother Frances HospitalTyler, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mother Frances Hospital Jacksonville559775102430

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. Timothy B Different allows following entities to bill medicare on his behalf.
Entity NameMother Frances Hospital Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306672
PECOS PAC ID: 5597751024
Enrollment ID: O20040421001092

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. Timothy B Different 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
Timothy B Different, CRNA
Po Box 847522,
Dallas, TX 75284-7522

Ph: (903) 531-5000		Timothy B Different, CRNA
2026 S Jackson St,
Jacksonville, TX 75766-5822

Ph: (903) 586-5678

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jacksonville, TX

Mr. Barry Lynn Thibodeaux, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1463 Se Loop 456, Jacksonville, TX 75766
Phone: 903-589-1150    
David Newsom, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 S Ragsdale St, Jacksonville, TX 75766
Phone: 903-677-1000    Fax: 903-677-1694
Mr. Jack David Capps, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2026 S Jackson St, Jacksonville, TX 75766
Phone: 903-541-4500    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.