Timothy Adams, DPM is a medicare enrolled "Podiatrist" provider in Choctaw, Mississippi. His current practice location is
210 Hospital Cir, Choctaw, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 389-4500.
Timothy Adams is licensed to practice in Indiana (license number 07001039A) 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 1427082726.
Healthcare Provider's Profile
| Full Name | Timothy Adams |
|---|
| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 210 Hospital Cir, Choctaw, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427082726
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 02/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062417116
- Enrollment ID: I20060922000286
Medical Identifiers
Medical identifiers for Timothy Adams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427082726 | NPI | - | NPPES |
| 200861050 | Medicaid | IN | |
| P01192556 | Other | IN | RAILROAD MEDICARE |
| 000000543884 | Other | IN | ANTHEM |
| 01270333 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 80139 (Mississippi) | Secondary |
| 213E00000X | Podiatrist | 07001039A (Indiana) | 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 Adams allows following entities to bill medicare on his behalf.
| Provider Name | Premier Foot Clinic Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1790840080
PECOS PAC ID: 0648204115
Enrollment ID: O20050923000361 |
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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 Adams 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 Adams, DPM
210 Hospital Cir,
Choctaw, MS 39350-6781
Ph: (601) 389-4500 | Timothy Adams, DPM
210 Hospital Cir,
Choctaw, MS 39350-6781
Ph: (601) 389-4500 |
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