Timothy Primrose, NP in Mishawaka, IN - Medicare Nurse Practitioner

Timothy Primrose, NP is a medicare enrolled "Nurse Practitioner - Neonatal" in Mishawaka, Indiana. His current practice location is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-4145.

Timothy Primrose is licensed to practice in Indiana (license number 71005880A) 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 1578934402.

Contact Information

	Timothy Primrose, NP
	5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469
	(574) 335-4145
	(574) 335-4146

Map and Direction

Provider's Profile

Full Name	Timothy Primrose
Gender	Male
Speciality	Nurse Practitioner - Neonatal
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578934402
Provider Enumeration Date: 10/19/2015
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 0941510960
Enrollment ID: I20151103002748

Medical Identifiers

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

Identifier	Type	State	Issuer
1578934402	NPI	-	NPPES
000000969840	Other	IN	BCBS
201327760	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71005880A (Indiana)	Secondary
363LN0000X	Nurse Practitioner - Neonatal	71005880A (Indiana)	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 Primrose allows following entities to bill medicare on his behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

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 Primrose 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 Primrose, NP 707 Cedar St Ste 405, South Bend, IN 46617-2057 Ph: (574) 335-8707	Timothy Primrose, NP 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469 Ph: (574) 335-4145

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Timothy Primrose, NP - Medicare Nurse Practitioner in Mishawaka, IN