Timothy Wallace Kaczmar, MD is a
Family Medicine physician based in Eldridge, California. Timothy Wallace Kaczmar is licensed to practice in California (license number G68791) and his current practice location is 15000 Arnold Dr, Eldridge, California. He can be reached at his office (for appointments etc.) via phone at
(707) 938-6000.
NPI number for Timothy Wallace Kaczmar is 1447244405 and his current mailing address is 15000 Arnold Dr, Eldridge, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447244405.
Physician's Profile
| Full Name | Timothy Wallace Kaczmar |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 15000 Arnold Dr, Eldridge, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447244405
- Provider Enumeration Date: 09/07/2005
- Last Update Date: 11/17/2016
Medical Identifiers
Medical identifiers for Timothy Wallace Kaczmar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447244405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | G68791 (California) | Primary |
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 Wallace Kaczmar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Wallace Kaczmar, MD
15000 Arnold Dr,
Eldridge, CA 95431-8900
Ph: (707) 938-6000 | Timothy Wallace Kaczmar, MD
15000 Arnold Dr,
Eldridge, CA 95431-8900
Ph: (707) 938-6000 |
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