Timothy S Cavanaugh, PAC is a medicare enrolled "Physician Assistant" in Mt Laurel, New Jersey. His current practice location is
1288 Route 73 South, Suite 100, Mt Laurel, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 273-8900.
Timothy S Cavanaugh is licensed to practice in New Jersey (license number 25MP00098900) 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 1558432922.
Provider's Profile
| Full Name | Timothy S Cavanaugh |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1288 Route 73 South, Mt Laurel, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558432922
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082084223
- Enrollment ID: I20230103002617
Medical Identifiers
Medical identifiers for Timothy S Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558432922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 25MP00098900 (New Jersey) | Primary |
| 363A00000X | Physician Assistant | MA050758 (Pennsylvania) | Secondary |
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 S Cavanaugh 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 S Cavanaugh, PAC
1288 Route 73 South, Suite 100,
Mt Laurel, NJ 08054
Ph: (856) 273-8900 | Timothy S Cavanaugh, PAC
1288 Route 73 South, Suite 100,
Mt Laurel, NJ 08054
Ph: (856) 273-8900 |
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