Timothy Dekoninck, MD - Medicare Emergency Medicine in Kettering, OH

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Timothy Dekoninck, MD is a medicare enrolled "Emergency Medicine" physician in Kettering, Ohio. His current practice location is 3525 Southern Blvd, 3525 Southern Blvd., Kettering, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 395-8839.

Timothy Dekoninck is licensed to practice in Ohio (license number 35.139183) 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 1992230908.

Contact Information

Timothy Dekoninck, MD
3525 Southern Blvd, 3525 Southern Blvd.,
Kettering, OH 45429-1221
(937) 395-8839
(937) 395-8387

Map and Direction




Physician's Profile

Full NameTimothy Dekoninck
GenderMale
SpecialityEmergency Medicine
Location3525 Southern Blvd, Kettering, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992230908
  • Provider Enumeration Date: 04/27/2017
  • Last Update Date: 08/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204103047
  • Enrollment ID: I20200826003579

Medical Identifiers

Medical identifiers for Timothy Dekoninck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992230908NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 35.139183 (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 Dekoninck allows following entities to bill medicare on his behalf.
Entity NameMiami Valley Emergency Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821189085
PECOS PAC ID: 9537064183
Enrollment ID: O20031205000322
Entity NamePhs Emergency Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578387486
PECOS PAC ID: 7810426947
Enrollment ID: O20250117002759

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 Dekoninck 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 AddressPractice Location Address
Timothy Dekoninck, MD
1 Wyoming St,
Dayton, OH 45409-2711

Ph: (937) 208-3356		Timothy Dekoninck, MD
3525 Southern Blvd, 3525 Southern Blvd.,
Kettering, OH 45429-1221

Ph: (937) 395-8839

Reviews and Comments


Emergency Medicine Doctors in Kettering, OH

Matthew P Kiefaber, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Mitchell Spencer Garey, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Sarah Valentine, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8166    
Dr. Stacey Lynn Poznanski, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3525 Southern Blvd, Kettering, OH 45429
Phone: 937-395-8839    
Aditya Arora, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Kettering, OH 45429
Phone: 937-436-4658    
Dr. Michael Edward Dowler, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3535 Southern Blvd, Emergency Department, Kettering, OH 45429
Phone: 937-395-8166    
Dr. Zena Jalloh, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429
Phone: 800-875-0136    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.