Timothy Maynard, is a medicare enrolled "Nurse Practitioner - Family" in Ceredo, West Virginia. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Oncall Health And Aesthetic Care and his current practice location is
402 C Street, Ceredo, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 908-1204.
Timothy Maynard is licensed to practice in Kentucky (license number 3008802) 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 1942618657.
Provider's Profile
| Full Name | Timothy Maynard |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 402 C Street, Ceredo, West Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Maynard graduated from nursing school in 2014
NPI Data:
- NPI Number: 1942618657
- Provider Enumeration Date: 07/25/2014
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466777966
- Enrollment ID: I20150204000172
Medical Identifiers
Medical identifiers for Timothy Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942618657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 3008802 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Oncall Health And Aesthetic Care | 9638472525 | 8 |
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 Maynard allows following entities to bill medicare on his behalf.
| Entity Name | Oncall Health And Aesthetic Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679944383
PECOS PAC ID: 9638472525
Enrollment ID: O20160127001411 |
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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. Timothy Maynard 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 |
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Timothy Maynard,
Po Box 4100,
Barboursville, WV 25504-4100
Ph: (304) 908-1204 | Timothy Maynard,
402 C Street,
Ceredo, WV 25507
Ph: (304) 908-1204 |
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