Dr Timothy J Carnevale, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Dunmore, Pennsylvania. He graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Tiffany Griffiths Psy D And Associates Inc and his current practice location is
502 N Blakely St, Dunmore, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 342-8434.
Dr Timothy J Carnevale is licensed to practice in Pennsylvania (license number PS019176) 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 1356888341.
Healthcare Provider's Profile
| Full Name | Dr Timothy J Carnevale |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 502 N Blakely St, Dunmore, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy J Carnevale graduated from medical school in 2019
NPI Data:
- NPI Number: 1356888341
- Provider Enumeration Date: 01/27/2017
- Last Update Date: 11/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123431491
- Enrollment ID: I20210105001614
Medical Identifiers
Medical identifiers for Dr Timothy J Carnevale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356888341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS019176 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tiffany Griffiths Psy D And Associates Inc | 5496907776 | 15 |
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 J Carnevale allows following entities to bill medicare on his behalf.
| Entity Name | Mary B Berge |
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| Entity Type | Practitioner - Clinical Psychologist |
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| Entity Identifiers | NPI Number: 1982654935
PECOS PAC ID: 7113067539
Enrollment ID: I20091216000199 |
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| Entity Name | Tiffany Griffiths Psy D & Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649507831
PECOS PAC ID: 5496907776
Enrollment ID: O20121213000057 |
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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. Dr Timothy J Carnevale 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 |
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Dr Timothy J Carnevale, PSYD
1251 Wyoming Ave,
Exeter, PA 18643-1434
Ph: (703) 428-4345 | Dr Timothy J Carnevale, PSYD
502 N Blakely St,
Dunmore, PA 18512-1943
Ph: (570) 342-8434 |
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