Timothy Lyle Fellman, APRN, CNP in Duluth, MN

Timothy Lyle Fellman, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Duluth, Minnesota. His current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-8364.

Timothy Lyle Fellman is licensed to practice in Minnesota (license number 10616) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376014084.

Contact Information

	Timothy Lyle Fellman, APRN, CNP
	400 E 3rd St, Duluth, MN 55805-1951
	(218) 786-8364
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Lyle Fellman
Gender	Male
Speciality	Nurse Practitioner - Family
Location	400 E 3rd St, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376014084
Provider Enumeration Date: 12/07/2018
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1850745472
Enrollment ID: I20230929001348

Medical Identifiers

Medical identifiers for Timothy Lyle Fellman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376014084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10616 (Minnesota)	Primary
363LF0000X	Nurse Practitioner - Family	14478-33 (Wisconsin)	Secondary

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 Lyle Fellman allows following entities to bill medicare on his behalf.

Entity Name	St Marys Hospital Of Superior
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070

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 Lyle Fellman 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
Timothy Lyle Fellman, APRN, CNP 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364	Timothy Lyle Fellman, APRN, CNP 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364

Reviews and Comments

Nurse Practitioner Nurses in Duluth, MN

Molly B Dwyer, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Mrs. Kelsey Maria O'neil, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364
Debbi L Peters, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4063
Amy Jo Schwab, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 218-722-4379 Fax: 218-722-4333
Jessica Louise Zweifel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-3443
Deeann Marie Hogenson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Lisa Dee Starr, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364

Timothy Lyle Fellman, APRN, CNP - Medicare Nurse Practitioner in Duluth, MN