| Dr Timothy Vernon Myers, MD | |
|
403 S Oak St, Lake City, MN 55041-1739 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Dr Timothy Vernon Myers |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 403 S Oak St, Lake City, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548249246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 255272-1 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 37040 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
| Atchison Hospital | Atchison, KS | Hospital |
| Mosaic Medical Center Albany | Albany, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Specialists Of St Joseph Pc | 3173508512 | 16 |
| Hiawatha Hospital Association Inc | 9032007364 | 40 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20180820000832 |
| Entity Name | Riverside Radiology And Interventional Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093718496 PECOS PAC ID: 8729976964 Enrollment ID: O20190412000664 |
| Entity Name | Radiology Specialists Of St Joseph Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679512701 PECOS PAC ID: 3173508512 Enrollment ID: O20200814001248 |
| Entity Name | Shps Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790421089 PECOS PAC ID: 7315325933 Enrollment ID: O20220930000120 |
| Entity Name | Ihs Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497148456 PECOS PAC ID: 1052622024 Enrollment ID: O20240321000805 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Vernon Myers, MD 11995 Singletree Ln, Suite 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Dr Timothy Vernon Myers, MD 403 S Oak St, Lake City, MN 55041-1739 Ph: (952) 595-1100 |