Timothy D O'brien, MD is a medicare enrolled "Surgery" physician in Logan, Ohio. His current practice location is 
819 State Route 664 N Ste B, Logan, Ohio. You can reach out to his office (for appointments etc.) via phone at 
(740) 380-8140.
Timothy D O'brien is licensed to practice in Ohio (license number 35076169) 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 1639136823.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Timothy D O'brien | 
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| Gender | Male | 
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| Speciality | Surgery | 
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| Location | 819 State Route 664 N Ste B, Logan, 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: 1639136823
 - Provider Enumeration Date: 05/01/2006
 - Last Update Date: 11/23/2020
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 3577465061
 - Enrollment ID: I20040729000381
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Timothy D O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1639136823 | NPI | - | NPPES | 
| 2272964 | Medicaid | OH |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 208600000X | Surgery  | 35076169 (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. Timothy D O'brien allows following entities to bill medicare on his behalf.
| Entity Name | Hocking Valley Medical Group, Inc. | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1801994827 PECOS PAC ID: 0345238622 Enrollment ID: O20040505000146 | 
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| Entity Name | Hocking Valley Community Hospital | 
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| Entity Type | Part A Provider - Critical Access Hospital | 
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| Entity Identifiers | NPI Number: 1295840007 PECOS PAC ID: 7810896735 Enrollment ID: O20061104000688 | 
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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. Timothy D O'brien 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 | 
		Timothy D O'brien, MD Po Box 228, Logan, OH 43138-0228 Ph: (740) 380-1300 | Timothy D O'brien, MD 819 State Route 664 N Ste B, Logan, OH 43138-8540 Ph: (740) 380-8140 | 
		
		 
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