Timothy P Kerut, MD in Vicksburg, MS - Medicare Allergy/immunology

Timothy P Kerut, MD is a medicare enrolled "Allergy & Immunology" physician in Vicksburg, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Vicksburg Clinic Llc and his current practice location is 2200 Highway 61 N, Vicksburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 883-3320.

Timothy P Kerut is licensed to practice in Mississippi (license number 11047) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932130127.

Contact Information

	Timothy P Kerut, MD
	2200 Highway 61 N, Vicksburg, MS 39183-8246
	(601) 883-3320
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy P Kerut
Gender	Male
Speciality	Allergy/immunology
Experience	39 Years
Location	2200 Highway 61 N, Vicksburg, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy P Kerut attended and graduated from University Of Mississippi School Of Medicine in 1985

NPI Data:

NPI Number: 1932130127
Provider Enumeration Date: 07/05/2006
Last Update Date: 09/10/2020

Medicare PECOS Information:

PECOS PAC ID: 6002980752
Enrollment ID: I20080730000192

Medical Identifiers

Medical identifiers for Timothy P Kerut such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932130127	NPI	-	NPPES
00120441	Medicaid	MS
5694020	Other	MS	AETNA
1546143	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	11047 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health River Region	Vicksburg, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vicksburg Clinic Llc	5890696330	21

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 P Kerut allows following entities to bill medicare on his behalf.

Entity Name	Vicksburg Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790711158 PECOS PAC ID: 5890696330 Enrollment ID: O20040116000738

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 P Kerut 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 P Kerut, MD 104 Mcauley Dr, Vicksburg, MS 39183-2825 Ph: (601) 638-7271	Timothy P Kerut, MD 2200 Highway 61 N, Vicksburg, MS 39183-8246 Ph: (601) 883-3320

Timothy P Kerut, MD - Medicare Allergy/immunology in Vicksburg, MS