Timothy James Immonen, DO - Medicare Obstetrics & Gynecology in Fort Worth, TX

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Timothy James Immonen, DO is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 702-1100.

Timothy James Immonen is licensed to practice in Michigan (license number 5101027095) 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 1730614793.

Contact Information

Timothy James Immonen, DO
1500 S Main St,
Fort Worth, TX 76104-4917
(817) 702-1100
(817) 702-2140

Map and Direction




Physician's Profile

Full NameTimothy James Immonen
GenderMale
SpecialityObstetrics & Gynecology - Maternal & Fetal Medicine
Location1500 S Main St, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730614793
  • Provider Enumeration Date: 04/27/2017
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1254724610
  • Enrollment ID: I20220709000317

Medical Identifiers

Medical identifiers for Timothy James Immonen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730614793NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34.015859 (Ohio)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 5101027095 (Michigan)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 James Immonen allows following entities to bill medicare on his behalf.
Entity NameHni Medical Services Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356815922
PECOS PAC ID: 1759620735
Enrollment ID: O20190308002704
Entity NameMercy Health Physicians Lorain Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126381
PECOS PAC ID: 4688070055
Enrollment ID: O20210909003432

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 James Immonen 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
Timothy James Immonen, DO
Po Box 732973,
Dallas, TX 75373-6901

Ph: () -		Timothy James Immonen, DO
1500 S Main St,
Fort Worth, TX 76104-4917

Ph: (817) 702-1100

Reviews and Comments


Obstetrics & Gynecology Doctors in Fort Worth, TX

Dr. Robert Arthur Burke, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 7100 Oakmont Blvd, Suite 104, Fort Worth, TX 76132
Phone: 817-423-0600    
Dr. Cynthia Lynn Hartman, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10840 Texas Health Trl Ste 110, Fort Worth, TX 76244
Phone: 682-212-6437    Fax: 682-212-9438
Dr. Benjamin Aude Mcwilliams, M. D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 6659 Gascony Pl, Fort Worth, TX 76132
Phone: 817-423-9653    
Lydia A Luna, M.D., P. A.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1307 8th Ave, #602, Fort Worth, TX 76104
Phone: 817-877-1848    Fax: 817-877-3716
Jeffrey M Hantes, DO
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Hemphill St., Suite 100, Fort Worth, TX 76104
Phone: 817-731-3936    Fax: 817-782-0206
Dr. Shashi P Rastogi, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1001. 12th Ave., 174, Fort Worth, TX 76104
Phone: 817-348-0701    Fax: 817-348-0702
Courtney Walters, M.D,
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 3025 N Tarrant Pkwy Ste 150, Fort Worth, TX 76177
Phone: 817-416-2229    Fax: 817-416-3667

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.