Dr Timothy John Fahey, DC, FNP is a medicare enrolled "Chiropractor" in San Antonio, Texas. His current practice location is
13523 Sleepy Oaks Ln, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 741-1547.
Dr Timothy John Fahey is licensed to practice in Texas (license number 3049) 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 1972678126.
Provider's Profile
| Full Name | Dr Timothy John Fahey |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 13523 Sleepy Oaks Ln, San Antonio, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972678126
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 03/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 5193897072
- Enrollment ID: I20150521000056
Medical Identifiers
Medical identifiers for Dr Timothy John Fahey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972678126 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | AP120415 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP120415 (Texas) | Secondary |
| 111N00000X | Chiropractor | 3049 (Texas) | Primary |
| 111NN1001X | Chiropractor - Nutrition | 3049 (Texas) | Secondary |
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. Dr Timothy John Fahey allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275651002
PECOS PAC ID: 9739260019
Enrollment ID: O20080131000349 |
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| Entity Name | Premier Interventional Pain Management Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134453129
PECOS PAC ID: 7012043961
Enrollment ID: O20100330000663 |
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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. Dr Timothy John Fahey 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 |
|---|
Dr Timothy John Fahey, DC, FNP
13523 Sleepy Oaks Ln,
San Antonio, TX 78253-5363
Ph: (210) 679-6967 | Dr Timothy John Fahey, DC, FNP
13523 Sleepy Oaks Ln,
San Antonio, TX 78253-5363
Ph: (830) 741-1547 |
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