Mr Timothy D Keyes, PA - Medicare Physician Assistant in Johnson City, NY

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Mr Timothy D Keyes, PA is a medicare enrolled "Physician Assistant" in Johnson City, New York. He graduated from nursing school in 2000 and has 26 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice United Medical Associates Pc, St Josephs Medical Pc and his current practice location is 30 Harrison St Ste 250, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 763-6580.

Mr Timothy D Keyes is licensed to practice in New York (license number 008055) 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 1124025473.

Contact Information

Mr Timothy D Keyes, PA
30 Harrison St Ste 250,
Johnson City, NY 13790-2176
(607) 763-6580
Not Available

Map and Direction




Provider's Profile

Full NameMr Timothy D Keyes
GenderMale
SpecialityPhysician Assistant
Experience26 Years
Location30 Harrison St Ste 250, Johnson City, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Timothy D Keyes graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1124025473
  • Provider Enumeration Date: 07/01/2005
  • Last Update Date: 11/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6305816968
  • Enrollment ID: I20040729001441

Medical Identifiers

Medical identifiers for Mr Timothy D Keyes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124025473NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 008055 (New York)Primary
363AS0400XPhysician Assistant - Surgical 008005 (New York)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 008055-1 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's Hospital Health CenterSyracuse, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
United Medical Associates Pc0345144978229
St Josephs Medical Pc4688855844388

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. Mr Timothy D Keyes allows following entities to bill medicare on his behalf.
Entity NameUnited Medical Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013972801
PECOS PAC ID: 0345144978
Enrollment ID: O20031125000020
Entity NameUnited Health Services Hospitals, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962463851
PECOS PAC ID: 5193610533
Enrollment ID: O20040216001017
Entity NameSt Joseph's Physician Health PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376770
PECOS PAC ID: 9436041431
Enrollment ID: O20040325001159
Entity NameRome Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255315305
PECOS PAC ID: 9638087273
Enrollment ID: O20040719001470
Entity NameSt Josephs Medical PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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. Mr Timothy D Keyes 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 AddressPractice Location Address
Mr Timothy D Keyes, PA
104 Union Ave Ste 804,
Syracuse, NY 13203-1844

Ph: (315) 703-5049		Mr Timothy D Keyes, PA
30 Harrison St Ste 250,
Johnson City, NY 13790-2176

Ph: (607) 763-6580

Reviews and Comments


Physician Assistant Nurses in Johnson City, NY

Camryn Perri,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Mrs. Mary L Barr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 41 Arch Street, Johnson City, NY 13790
Phone: 607-729-2121    Fax: 607-798-7751
Mr. Justin Michael Eisenhauer, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    
Nicholas John Tarnowski, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Katherine M Nichols, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-5494    Fax: 607-763-5116
Danielle Tchir Kappel, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 33-57 Harrison St, Johnson City, NY 13790
Phone: 607-763-6412    Fax: 607-763-5854
Mr. Connor Wasilnak, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 30 Harrison St Ste 250, Johnson City, NY 13790
Phone: 607-763-6580    Fax: 607-763-6782

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.