Timothy Isamu O'connor, MD in Walla Walla, WA

Timothy Isamu O'connor, MD is a medicare enrolled "Pediatrics" physician in Walla Walla, Washington. His current practice location is 55 W Tietan St, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 525-3720.

Timothy Isamu O'connor is licensed to practice in Washington (license number MD60658842) 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 1073856043.

Contact Information

	Timothy Isamu O'connor, MD
	55 W Tietan St, Walla Walla, WA 99362-4445
	(509) 525-3720
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy Isamu O'connor
Gender	Male
Speciality	Pediatrics
Location	55 W Tietan St, Walla Walla, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073856043
Provider Enumeration Date: 03/28/2013
Last Update Date: 06/02/2016

Medicare PECOS Information:

PECOS PAC ID: 2668783978
Enrollment ID: I20160816001053

Medical Identifiers

Medical identifiers for Timothy Isamu O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073856043	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ML60368579 (Washington)	Secondary
208000000X	Pediatrics	MD60658842 (Washington)	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 Isamu O'connor allows following entities to bill medicare on his behalf.

Entity Name	Privia Medical Group Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780658419 PECOS PAC ID: 2264320837 Enrollment ID: O20040309000126

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 Isamu O'connor 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 Isamu O'connor, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720	Timothy Isamu O'connor, MD 55 W Tietan St, Walla Walla, WA 99362-4445 Ph: (509) 525-3720

Reviews and Comments

Pediatrics Doctors in Walla Walla, WA

Rebekah Dickman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593
Donald K Ashley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-522-0100 Fax: 509-527-8010
Jaslyn Esther Erickson, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 55 W Tietan St Bldg A, Walla Walla, WA 99362 Phone: 509-525-3720
Dr. Alison E Kirby, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1578
Kristin Marie Satterfield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1111 S 2nd Ave, Walla Walla, WA 99362 Phone: 509-527-8152
Trent D. Rogers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 West Tietan Street, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593

Timothy Isamu O'connor, MD - Medicare Pediatrics in Walla Walla, WA