Dr Timothy Summers, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mccomb, Mississippi. His current practice location is
1701 White St, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 249-4214.
Dr Timothy Summers is licensed to practice in Mississippi (license number 07197) 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 1073684940.
Physician's Profile
| Full Name | Dr Timothy Summers |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1701 White St, Mccomb, Mississippi |
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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: 1073684940
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 4082881651
- Enrollment ID: I20120123000369
Medical Identifiers
Medical identifiers for Dr Timothy Summers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073684940 | NPI | - | NPPES |
| 00121795 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 07197 (Mississippi) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 07197 (Mississippi) | 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 Summers allows following entities to bill medicare on his behalf.
| Entity Name | Sw Ms Mental Health Mental Retardation Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184662694
PECOS PAC ID: 0446205108
Enrollment ID: O20050315000740 |
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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 Summers 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 Summers, MD
1701 White St, Po Box 768,
Mccomb, MS 39648
Ph: (601) 249-4214 | Dr Timothy Summers, MD
1701 White St,
Mccomb, MS 39648
Ph: (601) 249-4214 |
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