Dr Timothy Roger Black, DPM in Idaho Falls, ID

Dr Timothy Roger Black, DPM is a medicare enrolled "Podiatrist" provider in Idaho Falls, Idaho. He went to California School Of Podiatric Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Mountain View Hospital Llc and his current practice location is 3652 Washington Pkwy, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 528-8700.

Dr Timothy Roger Black is licensed to practice in Idaho (license number P-169) 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 1578753091.

Contact Information

	Dr Timothy Roger Black, DPM
	3652 Washington Pkwy, Idaho Falls, ID 83404-7573
	(208) 528-8700
	(208) 528-2802

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy Roger Black
Gender	Male
Speciality	Podiatry
Experience	24 Years
Location	3652 Washington Pkwy, Idaho Falls, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Timothy Roger Black attended and graduated from California School Of Podiatric Medicine in 2000

NPI Data:

NPI Number: 1578753091
Provider Enumeration Date: 07/31/2007
Last Update Date: 10/31/2017

Medicare PECOS Information:

PECOS PAC ID: 0244329738
Enrollment ID: I20071207000164

Medical Identifiers

Medical identifiers for Dr Timothy Roger Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578753091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	P-169 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mountain View Hospital	Idaho falls, ID	Hospital

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 Roger Black allows following entities to bill medicare on his behalf.

Provider Name	Mountain View Hospital Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1669462362 PECOS PAC ID: 4486562774 Enrollment ID: O20040527001343

Provider Name	Mountain Crest Foot And Ankle Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1932191996 PECOS PAC ID: 4486797297 Enrollment ID: O20100202000501

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 Roger Black 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 Roger Black, DPM 1628 Elk Creek Dr, Idaho Falls, ID 83404-8349 Ph: (208) 528-8700	Dr Timothy Roger Black, DPM 3652 Washington Pkwy, Idaho Falls, ID 83404-7573 Ph: (208) 528-8700

Reviews and Comments

Podiatrist in Idaho Falls, ID

Idaho Foot And Ankle Center Podiatrist Medicare: Medicare Enrolled Practice Location: 1540 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-529-8393
Ankle And Foot Clinic Of Idaho Podiatrist Medicare: Medicare Enrolled Practice Location: 2920 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-529-0229 Fax: 888-688-3439
Therapeutic Shoes Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 718 Beulahs Lane, Idaho Falls, ID 83401 Phone: 208-524-1995 Fax: 208-524-1995
Andrew L Mccall, D.P.M. P.A. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2920 Cortez Ave, Idaho Falls, ID 83404 Phone: 208-529-0229 Fax: 888-688-3439
Idaho Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1540 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-529-8393 Fax: 208-529-8398
Dr. Kylin Kovac, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1540 Elk Creek Dr, Idaho Falls, ID 83404 Phone: 208-529-8393 Fax: 208-529-8398
Foot & Ankle Specialists Of Idaho, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1277 E 17th St, Idaho Falls, ID 83404 Phone: 267-644-6880

Dr Timothy Roger Black, DPM - Medicare Podiatrist in Idaho Falls, ID