Tim Bombard, in Manchester, CT - Medicare Nurse Practitioner

Tim Bombard, is a medicare enrolled "Nurse Practitioner - Family" in Manchester, Connecticut. His current practice location is 843 Main St # 15, Manchester, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 648-3001.

Tim Bombard is licensed to practice in Connecticut (license number 002775) 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 1669470993.

Contact Information

	Tim Bombard,
	843 Main St # 15, Manchester, CT 06040-6020
	(860) 648-3001
	(860) 648-3003

Map and Direction

Provider's Profile

Full Name	Tim Bombard
Gender	Male
Speciality	Nurse Practitioner - Family
Location	843 Main St # 15, Manchester, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669470993
Provider Enumeration Date: 07/11/2005
Last Update Date: 10/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9436042801
Enrollment ID: I20040209000104

Medical Identifiers

Medical identifiers for Tim Bombard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669470993	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	002775 (Connecticut)	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. Tim Bombard allows following entities to bill medicare on his behalf.

Entity Name	Nes Medical Services Of Northern Connecticut, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447231865 PECOS PAC ID: 7315843968 Enrollment ID: O20040112000084

Entity Name	Day Kimball Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376813972 PECOS PAC ID: 1557514411 Enrollment ID: O20130102000091

Entity Name	Breakaway Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528777505 PECOS PAC ID: 7810429446 Enrollment ID: O20241021000927

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. Tim Bombard 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
Tim Bombard, 694 Palisado Ave, Windsor, CT 06095-2037 Ph: (860) 214-4513	Tim Bombard, 843 Main St # 15, Manchester, CT 06040-6020 Ph: (860) 648-3001

Reviews and Comments

Nurse Practitioner Nurses in Manchester, CT

Mrs. Sarah A Diramio, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4176 Fax: 860-649-5219
Joanna Mrozek, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Oak St, Manchester, CT 06040 Phone: 860-559-6867
Michelle Malz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179
Mrs. Michelle Louton Vanduinen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Middle Tpke E, Manchester, CT 06040 Phone: 860-646-3888 Fax: 860-645-4132
Christina Marie Martin, CNM, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319b Main St, Manchester, CT 06040 Phone: 860-643-1607
Andrew Lauzier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 E Center St, Manchester, CT 06040 Phone: 860-533-0179 Fax: 866-603-4163
Margaret A Albee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 419 Middle Tpke W, Manchester, CT 06040 Phone: 860-643-3598 Fax: 860-643-3599

Tim Bombard, - Medicare Nurse Practitioner in Manchester, CT