Timothy R Zeolia, PA is a medicare enrolled "Physician Assistant" in Piney Flats, Tennessee. His current practice location is
6419 Bristol Hwy, Piney Flats, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 538-5202.
Timothy R Zeolia is licensed to practice in Tennessee (license number 1412) 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 1477565570.
Provider's Profile
| Full Name | Timothy R Zeolia |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 6419 Bristol Hwy, Piney Flats, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477565570
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 01/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204833163
- Enrollment ID: I20061107000230
Medical Identifiers
Medical identifiers for Timothy R Zeolia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477565570 | NPI | - | NPPES |
| 1505553 | Medicaid | TN | |
| P01418134 | Other | TN | RR MDCR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1412 (Tennessee) | 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 R Zeolia allows following entities to bill medicare on his behalf.
| Entity Name | Health Express |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417352618
PECOS PAC ID: 5799072963
Enrollment ID: O20161003001785 |
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| Entity Name | Tri-cities Regional Emergency Physicians, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399 |
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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 R Zeolia 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 R Zeolia, PA
6419 Bristol Hwy,
Piney Flats, TN 37686-5208
Ph: (423) 538-5202 | Timothy R Zeolia, PA
6419 Bristol Hwy,
Piney Flats, TN 37686-5208
Ph: (423) 538-5202 |
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