Timothy Shank, is a medicare enrolled "Nurse Practitioner - Family" in Valley Springs, California. His current practice location is
51 Wellness Way, Valley Springs, California. You can reach out to his office (for appointments etc.) via phone at
(209) 772-7070.
Timothy Shank is licensed to practice in California (license number 95027207) 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 1053180265.
Provider's Profile
Full Name | Timothy Shank |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 51 Wellness Way, Valley Springs, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053180265
- Provider Enumeration Date: 12/28/2023
- Last Update Date: 12/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941644751
- Enrollment ID: I20240220004438
Medical Identifiers
Medical identifiers for Timothy Shank such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053180265 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95027207 (California) | Primary |
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 Shank allows following entities to bill medicare on his behalf.
Entity Name | Mark Twain Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306311329 PECOS PAC ID: 7810327657 Enrollment ID: O20200818003005 |
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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 Shank 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 Shank, 51 Wellness Way, Valley Springs, CA 95252-9736 Ph: (209) 772-7070 | Timothy Shank, 51 Wellness Way, Valley Springs, CA 95252-9736 Ph: (209) 772-7070 |
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