Dr Timothy Allen Clem, DO - Medicare Obstetrics & Gynecology in Brooklyn Park, MN

  1. Home
  2. Obstetrics & Gynecology
  3. MN
  4. Brooklyn Park
Dr Timothy Allen Clem, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Brooklyn Park, Minnesota. His current practice location is 10000 Zane Ave N, Brooklyn Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 572-5700.

Dr Timothy Allen Clem is licensed to practice in Nebraska (license number 1312) 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 1558705871.

Contact Information

Dr Timothy Allen Clem, DO
10000 Zane Ave N,
Brooklyn Park, MN 55443-1400
(763) 572-5700
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Allen Clem
GenderMale
SpecialityObstetrics & Gynecology
Location10000 Zane Ave N, Brooklyn Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558705871
  • Provider Enumeration Date: 04/18/2013
  • Last Update Date: 09/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092011270
  • Enrollment ID: I20231003001722

Medical Identifiers

Medical identifiers for Dr Timothy Allen Clem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558705871NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 1312 (Nebraska)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. Dr Timothy Allen Clem allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516

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 Allen Clem 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 Allen Clem, DO
Unit 33100,
Apo, AE 09180-3100

Ph: (314) 590-6985		Dr Timothy Allen Clem, DO
10000 Zane Ave N,
Brooklyn Park, MN 55443-1400

Ph: (763) 572-5700

Reviews and Comments


Obstetrics & Gynecology Doctors in Brooklyn Park, MN

Dr. Stacy L Ballard, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2317 91st Cres N, Brooklyn Park, MN 55443
Phone: 612-209-2814    
James G B Buss, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 10000 Zane Ave N, Fairview Brooklyn Park Clinic, Brooklyn Park, MN 55443
Phone: 763-572-5700    Fax: 763-569-6258

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.