Dr Timothy William Scanlon, PT, DPT, CSCS in Kingman, AZ - Medicare Physical Therapist Provider

Dr Timothy William Scanlon, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Kingman, Arizona. His current practice location is 3801 Santa Rosa Dr, Kingman, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 681-8732.

Dr Timothy William Scanlon is licensed to practice in Arizona (license number LPT-31500) 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 1619611076.

Contact Information

	Dr Timothy William Scanlon, PT, DPT, CSCS
	3801 Santa Rosa Dr, Kingman, AZ 86401-2311
	(928) 681-8732
	(928) 681-8733

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy William Scanlon
Gender	Male
Speciality	Physical Therapist
Location	3801 Santa Rosa Dr, Kingman, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619611076
Provider Enumeration Date: 04/22/2022
Last Update Date: 05/02/2022

Medicare PECOS Information:

PECOS PAC ID: 4385011162
Enrollment ID: I20221108001326

Medical Identifiers

Medical identifiers for Dr Timothy William Scanlon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619611076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4395 (Nevada)	Secondary
225100000X	Physical Therapist	LPT-31500 (Arizona)	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. Dr Timothy William Scanlon allows following entities to bill medicare on his behalf.

Provider Name	Affiliated Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1669607156 PECOS PAC ID: 1951453075 Enrollment ID: O20090720000524

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. Dr Timothy William Scanlon 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
Dr Timothy William Scanlon, PT, DPT, CSCS 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 Ph: (928) 681-8732	Dr Timothy William Scanlon, PT, DPT, CSCS 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 Ph: (928) 681-8732

Reviews and Comments

Physical Therapist in Kingman, AZ

Peyton Matthew Cardiff, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2120 Airway Ave, Kingman, AZ 86409 Phone: 928-757-1211
Mrs. Kimberly Ann Brisco, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 Airway Avenue, Kingman, AZ 86409 Phone: 928-757-1211 Fax: 928-757-8826
Kenneth Mcadow, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 Phone: 928-440-6880
Lisa A Alexander, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 Hualapai Mountain, Suite E, Kingman, AZ 86401 Phone: 928-718-4300
John Brit Haws, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3131 Western Ave, Kingman, AZ 86401 Phone: 928-718-0718
Mr. David Lee Schmitz, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2120 Airway Ave, Kingman, AZ 86409 Phone: 928-757-1211 Fax: 928-757-8826
Kimberley Kiel Deering, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1841 E Morrow Ave, Kingman, AZ 86409 Phone: 928-753-4263 Fax: 928-753-1173

Dr Timothy William Scanlon, PT, DPT, CSCS - Medicare Physical Therapist in Kingman, AZ