Mrs Lori A Timberlake, APRN,BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Columbus, Ohio. Her current practice location is
3025 W Broad St, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 334-6903.
Mrs Lori A Timberlake is licensed to practice in Ohio (license number NP09196) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831258383.
Physician's Profile
| Full Name | Mrs Lori A Timberlake |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 3025 W Broad St, Columbus, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831258383
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092850859
- Enrollment ID: I20100304000005
Medical Identifiers
Medical identifiers for Mrs Lori A Timberlake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1831258383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 09196 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP 09196 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | NP09196 (Ohio) | 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. Mrs Lori A Timberlake allows following entities to bill medicare on her behalf.
| Entity Name | Village Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124057914 PECOS PAC ID: 6901049089 Enrollment ID: O20130821001045 |
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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. Mrs Lori A Timberlake 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 |
Mrs Lori A Timberlake, APRN,BC 140 E Town St Ste 1450, Columbus, OH 43215-6601 Ph: (614) 334-6903 | Mrs Lori A Timberlake, APRN,BC 3025 W Broad St, Columbus, OH 43204-2653 Ph: (614) 334-6903 |
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