Timothy Allen Speck, OD in Forest Grove, OR - Medicare Optometrist Provider

Timothy Allen Speck, OD is a medicare enrolled "Optometrist" provider in Forest Grove, Oregon. His current practice location is 2144 Hawthorne St, Apt 56, Forest Grove, Oregon. You can reach out to his office (for appointments etc.) via phone at (217) 416-9452.

Timothy Allen Speck is licensed to practice in Oregon (license number 3631ATI) 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 1093067324.

Contact Information

	Timothy Allen Speck, OD
	2144 Hawthorne St, Apt 56, Forest Grove, OR 97116-1749
	(217) 416-9452
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Allen Speck
Gender	Male
Speciality	Optometrist
Location	2144 Hawthorne St, Forest Grove, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093067324
Provider Enumeration Date: 10/10/2012
Last Update Date: 10/08/2015

Medicare PECOS Information:

PECOS PAC ID: 0345577078
Enrollment ID: I20190802002957

Medical Identifiers

Medical identifiers for Timothy Allen Speck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093067324	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3631ATI (Oregon)	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 Allen Speck allows following entities to bill medicare on his behalf.

Provider Name	Pacific Eye Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264

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 Allen Speck 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 Allen Speck, OD 1406 Ne 69th Ave, Portland, OR 97213-5302 Ph: () -	Timothy Allen Speck, OD 2144 Hawthorne St, Apt 56, Forest Grove, OR 97116-1749 Ph: (217) 416-9452

Reviews and Comments

Optometrist in Forest Grove, OR

Shannon Seymour, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2202
Dr. Kelvin Kiu Wing So, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-880-1381
Dr. Beth Toshiko Kinoshita, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-3140 Fax: 503-352-2929
Dr. Shannon Cathleen Lutz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2208
Dr. Aldrin Marcus Santamaria, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Forest Grove, OR 97116 Phone: 503-352-2020
Jing Huang, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2043 College Way, Pacific University Optometry College, Forest Grove, OR 97116 Phone: 925-698-7120

Timothy Allen Speck, OD - Medicare Optometrist in Forest Grove, OR