Timothy D Hanaway, MD in Nellis Afb, NV - Medicare Emergency Medicine

Timothy D Hanaway, MD is a medicare enrolled "Emergency Medicine" physician in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 653-2344.

Timothy D Hanaway is licensed to practice in Illinois (license number 036146238) 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 1093101586.

Contact Information

	Timothy D Hanaway, MD
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 653-2344
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy D Hanaway
Gender	Male
Speciality	Emergency Medicine
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093101586
Provider Enumeration Date: 04/10/2015
Last Update Date: 01/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2860871811
Enrollment ID: I20221224000089

Medical Identifiers

Medical identifiers for Timothy D Hanaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093101586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A172707 (California)	Secondary
207P00000X	Emergency Medicine	036146238 (Illinois)	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 Hanaway allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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 Hanaway 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 Hanaway, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2344	Timothy D Hanaway, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2344

Reviews and Comments

Emergency Medicine Doctors in Nellis Afb, NV

Edward Kempton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Brannon L Inman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Brent Hunter, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Stephen M Galvin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 Phone: 702-653-2344
Dr. Robert David Tidwell, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273
Dr. Mark Thomas Bernardi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3445

Timothy D Hanaway, MD - Medicare Emergency Medicine in Nellis Afb, NV