Timothy Jon Lederer, in Parkville, MD - Medicare Nurse Practitioner

Timothy Jon Lederer, is a medicare enrolled "Nurse Practitioner - Family" in Parkville, Maryland. His current practice location is 9512 Harford Rd Ste 4, Parkville, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 665-4400.

Timothy Jon Lederer is licensed to practice in Maryland (license number R179150) 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 1033695960.

Contact Information

	Timothy Jon Lederer,
	9512 Harford Rd Ste 4, Parkville, MD 21234-3127
	(410) 665-4400
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Jon Lederer
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9512 Harford Rd Ste 4, Parkville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033695960
Provider Enumeration Date: 07/13/2018
Last Update Date: 04/28/2026

Medicare PECOS Information:

PECOS PAC ID: 2365781291
Enrollment ID: I20190311002079

Medical Identifiers

Medical identifiers for Timothy Jon Lederer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033695960	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R179150 (Maryland)	Secondary
363LF0000X	Nurse Practitioner - Family	R179150 (Maryland)	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. Timothy Jon Lederer allows following entities to bill medicare on his behalf.

Entity Name	Ritu Bhambhani Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316133457 PECOS PAC ID: 3274608799 Enrollment ID: O20080819000250

Entity Name	Tcmg Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912030073 PECOS PAC ID: 4385782366 Enrollment ID: O20091111000606

Entity Name	Matthew P Mardiney Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174881098 PECOS PAC ID: 7911163464 Enrollment ID: O20120727000111

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 Jon Lederer 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 Jon Lederer, 100 Walter Ward Blvd Ste 300, Abingdon, MD 21009-1286 Ph: (410) 777-8971	Timothy Jon Lederer, 9512 Harford Rd Ste 4, Parkville, MD 21234-3127 Ph: (410) 665-4400

Reviews and Comments

Nurse Practitioner Nurses in Parkville, MD

Dr. Lawanda Rollins, DNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8831 Satyr Hill Rd Ste 100, Parkville, MD 21234 Phone: 443-946-1896 Fax: 443-495-2902
Kenneth Kibiriu, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8511 Harford Rd Ste C, Parkville, MD 21234 Phone: 443-477-9514
Clara Abit, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Luiss Deane Dr, Parkville, MD 21234 Phone: 301-917-4386
Helen Nkiruka Onyeuba, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8713 Harford Rd, Parkville, MD 21234 Phone: 301-204-7913
Ramatu Ndomih Ngah, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8117 Harford Rd Ste 2, Parkville, MD 21234 Phone: 410-882-4800 Fax: 410-822-6667
Mrs. Mercy Maxine Kanno, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8720 Emge Rd, Parkville, MD 21234 Phone: 410-668-1961
Mrs. Althea Mcleod, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8901 Clement Ave, Parkville, MD 21234 Phone: 410-961-9476

Timothy Jon Lederer, - Medicare Nurse Practitioner in Parkville, MD