Timothy Burnette Naomi, DDS in Louisville, KY

Timothy Burnette Naomi, DDS is a medicare enrolled "Dentist - General Practice" provider in Louisville, Kentucky. His current practice location is 501 S Preston St, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (028) 525-8385.

Timothy Burnette Naomi is licensed to practice in Washington (license number DE60857601) 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 1861442071.

Contact Information

	Timothy Burnette Naomi, DDS
	501 S Preston St, Louisville, KY 40202-1701
	(028) 525-8385
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Timothy Burnette Naomi
Gender	Male
Speciality	Dentist - General Practice
Location	501 S Preston St, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861442071
Provider Enumeration Date: 05/10/2006
Last Update Date: 07/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5597720060
Enrollment ID: I20241101002544

Medical Identifiers

Medical identifiers for Timothy Burnette Naomi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861442071	NPI	-	NPPES
89902MW	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	11061 (Kentucky)	Secondary
1223G0001X	Dentist - General Practice	DE60857601 (Washington)	Primary
1223G0001X	Dentist - General Practice	6597 (North Carolina)	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. Timothy Burnette Naomi allows following entities to bill medicare on his behalf.

Entity Name	University Of Louisville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861413098 PECOS PAC ID: 2264480615 Enrollment ID: O20050203000018

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 Burnette Naomi 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 Burnette Naomi, DDS Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455	Timothy Burnette Naomi, DDS 501 S Preston St, Louisville, KY 40202-1701 Ph: (028) 525-8385

Reviews and Comments

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Timothy Burnette Naomi, DDS - Medicare Dentist in Louisville, KY