Timothy Ray Peace Jr, MSN, CRNP, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ambridge, Pennsylvania. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Beaver County Pathways Llc, Integrative Counseling Services, Pc, Five Star Medical Services Llc and his current practice location is
422 Merchant St, Ambridge, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 318-8793.
Timothy Ray Peace Jr is licensed to practice in Pennsylvania (license number SP022406) 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 1245843184.
Provider's Profile
| Full Name | Timothy Ray Peace Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 422 Merchant St, Ambridge, Pennsylvania |
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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 Ray Peace Jr graduated from nursing school in 2020
NPI Data:
- NPI Number: 1245843184
- Provider Enumeration Date: 08/29/2020
- Last Update Date: 08/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173939865
- Enrollment ID: I20210303002700
Medical Identifiers
Medical identifiers for Timothy Ray Peace Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245843184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP022406 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Beaver County Pathways Llc | 9537404413 | 4 |
| Integrative Counseling Services, Pc | 5698046357 | 24 |
| Five Star Medical Services Llc | 0244508786 | 2 |
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 Ray Peace Jr allows following entities to bill medicare on his behalf.
| Entity Name | Five Star Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144755000
PECOS PAC ID: 0244508786
Enrollment ID: O20170624000233 |
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| Entity Name | Beaver County Pathways Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184071193
PECOS PAC ID: 9537404413
Enrollment ID: O20181220002648 |
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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 Ray Peace Jr 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 Ray Peace Jr, MSN, CRNP, FNP-C
6 Leet St,
Sewickley, PA 15143-8736
Ph: (724) 681-9729 | Timothy Ray Peace Jr, MSN, CRNP, FNP-C
422 Merchant St,
Ambridge, PA 15003-2405
Ph: (724) 318-8793 |
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