Timothy Wayne Mcdaniel, PT is a medicare enrolled "Physical Therapist" provider in King William, Virginia. His current practice location is
694 Sharon Rd, Suite R, King William, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 769-7504.
Timothy Wayne Mcdaniel is licensed to practice in Virginia (license number 2305201811) 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 1427068139.
Healthcare Provider's Profile
| Full Name | Timothy Wayne Mcdaniel |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 694 Sharon Rd, King William, Virginia |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1427068139
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 11/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 5698938371
- Enrollment ID: I20120809000553
Medical Identifiers
Medical identifiers for Timothy Wayne Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427068139 | NPI | - | NPPES |
| 010029686 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 2305201811 (Virginia) | 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 Wayne Mcdaniel allows following entities to bill medicare on his behalf.
| Provider Name | King William Physical Therapy |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1508049255
PECOS PAC ID: 8820251739
Enrollment ID: O20120511000280 |
|---|
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 Wayne Mcdaniel 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 Wayne Mcdaniel, PT
694 Sharon Rd, Suite R,
King William, VA 23086-3640
Ph: (804) 769-7504 | Timothy Wayne Mcdaniel, PT
694 Sharon Rd, Suite R,
King William, VA 23086-3640
Ph: (804) 769-7504 |
Reviews and Comments