Timothy Joseph Phalen, MD in Fairfield, OH

Timothy Joseph Phalen, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fairfield, Ohio. His current practice location is 3000 Mack Rd, Fairfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 870-7024.

Timothy Joseph Phalen is licensed to practice in Ohio (license number 35.076229) 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 1366446148.

Contact Information

	Timothy Joseph Phalen, MD
	3000 Mack Rd, Fairfield, OH 45014-5335
	(513) 870-7024
	(513) 965-8091

Map and Direction

Physician's Profile

Full Name	Timothy Joseph Phalen
Gender	Male
Speciality	Radiology - Vascular & Interventional Radiology
Location	3000 Mack Rd, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366446148
Provider Enumeration Date: 06/09/2005
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 7214012095
Enrollment ID: I20101116000003

Medical Identifiers

Medical identifiers for Timothy Joseph Phalen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366446148	NPI	-	NPPES
2222893	Medicaid	OH
64049968	Medicaid	KY
200276720A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	35076229P (Ohio)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	35.076229 (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 Joseph Phalen allows following entities to bill medicare on his behalf.

Entity Name	Columbus Radiology Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742

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 Joseph Phalen 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 Joseph Phalen, MD 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 Ph: (336) 274-9617	Timothy Joseph Phalen, MD 3000 Mack Rd, Fairfield, OH 45014-5335 Ph: (513) 870-7024

Reviews and Comments

Radiology Doctors in Fairfield, OH

Dr. Michael A Cross, MD Radiology Medicare: Medicare Enrolled Practice Location: 2960 Mack Rd Ste 105, Fairfield, OH 45014 Phone: 513-751-2273 Fax: 513-751-1840
Bradford Harold Woodall, MD Radiology Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091
Robert A Love Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091
Donald Kolman Imwalle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-965-8041 Fax: 513-965-8091
Jeffrey I Grass, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2960 Mack Rd Ste 105, Fairfield, OH 45014 Phone: 513-751-2273
Susan Marie Cha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-870-7024 Fax: 513-965-8091

Timothy Joseph Phalen, MD - Medicare Radiology in Fairfield, OH