Timothy Smallwood, APRN - Medicare Nurse Practitioner in Lexington, KY

Timothy Smallwood, APRN is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Kentucky. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Modern Dermatology Of Kentucky Llc and his current practice location is 177 Burt Rd, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 276-1511.

Timothy Smallwood is licensed to practice in Kentucky (license number 3015597) 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 1437745163.

Contact Information

Timothy Smallwood, APRN
177 Burt Rd,
Lexington, KY 40503-2457
(859) 276-1511
Not Available

Map and Direction




Provider's Profile

Full NameTimothy Smallwood
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location177 Burt Rd, Lexington, Kentucky
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 Smallwood graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1437745163
  • Provider Enumeration Date: 12/16/2020
  • Last Update Date: 12/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113330101
  • Enrollment ID: I20210112002529

Medical Identifiers

Medical identifiers for Timothy Smallwood such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437745163NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3015597 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Modern Dermatology Of Kentucky Llc549616630814

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 Smallwood allows following entities to bill medicare on his behalf.
Entity NameModern Dermatology Of Kentucky Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699382507
PECOS PAC ID: 5496166308
Enrollment ID: O20201125001868

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 Smallwood 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 Smallwood, APRN
2657 Red Leaf Dr,
Lexington, KY 40509-1742

Ph: (606) 359-1562
Timothy Smallwood, APRN
177 Burt Rd,
Lexington, KY 40503-2457

Ph: (859) 276-1511

Reviews and Comments


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Phone: 859-303-5918    Fax: 859-303-5918

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.