Dr Timothy A Connor, PSYD | |
211 S Woodruff Ave, Suite J, Idaho Falls, ID 83401-4369 | |
(208) 529-5548 | |
(208) 529-5588 |
Full Name | Dr Timothy A Connor |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 211 S Woodruff Ave, Idaho Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780625954 | NPI | - | NPPES |
N6279 | Other | ID | BLUE CROSS |
000010155441 | Other | ID | REGENCE BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 202118 (Idaho) | Primary |
Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
Mailing Address | Practice Location Address |
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Dr Timothy A Connor, PSYD 211 S Woodruff Ave, Suite J, Idaho Falls, ID 83401-4369 Ph: (208) 529-5548 | Dr Timothy A Connor, PSYD 211 S Woodruff Ave, Suite J, Idaho Falls, ID 83401-4369 Ph: (208) 529-5548 |
Melinda L Jorgensen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3417 Merlin Dr, Ste 102, Idaho Falls, ID 83404 Phone: 208-552-0850 Fax: 208-529-5011 | |
Dr. Kelli M Bishop, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 E 16th St, Idaho Falls, ID 83404 Phone: 208-523-1130 | |
Kimberly Sue Kelly, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 630 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-535-0505 | |
Ben L Walters, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2871 Agnes St, Idaho Falls, ID 83402 Phone: 208-270-2716 | |
Dr. Rosa Maria Mulser, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1710 Woodruff Park Salon Suites, Suite 1, Idaho Falls, ID 83401 Phone: 208-888-8873 | |
Douglas E. Craig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3670 S 25th E, #2, Idaho Falls, ID 83404 Phone: 208-201-6124 | |
Dr. Tanner Mitchell Nielsen, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404 Phone: 208-419-3002 Fax: 208-656-5652 |