Dr Timothy Earl King, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Crown Point, Indiana. He went to Indiana University School Of Medicine and graduated in 1975 and has 50 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Beaver Island Rural Health Center and his current practice location is
11456 Broadway, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 488-0154.
Dr Timothy Earl King is licensed to practice in Indiana (license number 01025676A) 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 1215963202.
Physician's Profile
| Full Name | Dr Timothy Earl King |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 50 Years |
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| Location | 11456 Broadway, Crown Point, Indiana |
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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 Earl King attended and graduated from Indiana University School Of Medicine in 1975
NPI Data:
- NPI Number: 1215963202
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 11/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 5395638159
- Enrollment ID: I20230203001748
Medical Identifiers
Medical identifiers for Dr Timothy Earl King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215963202 | NPI | - | NPPES |
| 100113830B | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 036097585 (Illinois) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 01025676A (Indiana) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 01025676A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Beaver Island Rural Health Center | 3971539156 | 6 |
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 Earl King allows following entities to bill medicare on his behalf.
| Entity Name | Beaver Island Rural Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407828080
PECOS PAC ID: 3971539156
Enrollment ID: O20050711000160 |
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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 Earl King 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 |
|---|
Dr Timothy Earl King, MD
425 Joliet St, Suite 400,
Dyer, IN 46311-1765
Ph: (219) 488-0165 | Dr Timothy Earl King, MD
11456 Broadway,
Crown Point, IN 46307-7106
Ph: (219) 488-0154 |
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