Dr Timothy Alan Hursh, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Gillette, Wyoming. His current practice location is
469 Highway 50, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 387-9850.
Dr Timothy Alan Hursh is licensed to practice in Wyoming (license number TL8631) 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 1952377236.
Physician's Profile
| Full Name | Dr Timothy Alan Hursh |
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| Gender | Male |
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| Speciality | Preventive Medicine - Undersea And Hyperbaric Medicine |
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| Location | 469 Highway 50, Gillette, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952377236
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 04/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830240787
- Enrollment ID: I20090706000471
Medical Identifiers
Medical identifiers for Dr Timothy Alan Hursh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952377236 | NPI | - | NPPES |
| 18323A | Other | WY | WY LICENSE |
| 2033284-01 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 16947 (Oklahoma) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | N1684 (Texas) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | TL8631 (Wyoming) | 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 Alan Hursh allows following entities to bill medicare on his behalf.
| Entity Name | Healogics Specialty Physicians Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285051094
PECOS PAC ID: 6709002777
Enrollment ID: O20140728002064 |
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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 Alan Hursh 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 Alan Hursh, MD
469 Highway 50,
Gillette, WY 82718-9330
Ph: (307) 387-9850 | Dr Timothy Alan Hursh, MD
469 Highway 50,
Gillette, WY 82718-9330
Ph: (307) 387-9850 |
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