Dr Timothy A Diller, MD - Medicare Surgery in Jacksonville, AR

Dr Timothy A Diller, MD is a medicare enrolled "Surgery" physician in Jacksonville, Arkansas. His current practice location is 1400 Braden St, Emergency Dept, Jacksonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 985-7000.

Dr Timothy A Diller is licensed to practice in Michigan (license number 4301044283) 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 1205899481.

Contact Information

Dr Timothy A Diller, MD
1400 Braden St, Emergency Dept,
Jacksonville, AR 72076-3721
(501) 985-7000
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy A Diller
GenderMale
SpecialitySurgery
Location1400 Braden St, Jacksonville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205899481
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 06/19/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9234236761
  • Enrollment ID: I20120627000730

Medical Identifiers

Medical identifiers for Dr Timothy A Diller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205899481NPI-NPPES
786546OtherARHEALTHLINK
P01027351OtherRAILROAD MCARD
07100015600OtherARQC
5086184OtherARAETNA
164478001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 4301044283 (Michigan)Primary
2086S0129XSurgery - Vascular Surgery T2007-006 (Arkansas)Secondary

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 A Diller allows following entities to bill medicare on his behalf.
Entity NamePere Marquette Emergency Physicians Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447284112
PECOS PAC ID: 1052356094
Enrollment ID: O20050621000913

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 A Diller 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 AddressPractice Location Address
Dr Timothy A Diller, MD
Po Box 3925,
Shreveport, LA 71133-3925

Ph: (800) 684-0052
Dr Timothy A Diller, MD
1400 Braden St, Emergency Dept,
Jacksonville, AR 72076-3721

Ph: (501) 985-7000

Reviews and Comments


Surgery Doctors in Jacksonville, AR

Rex E Luttrell, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Braden St, Pod B, Jacksonville, AR 72076
Phone: 501-978-4343    Fax: 501-975-8995

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.