Timothy Samuel Waddell, FNP in Tehachapi, CA - Medicare Nurse Practitioner

Timothy Samuel Waddell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tehachapi, California. His current practice location is 21460 Golden Hills Blvd Unit B, Tehachapi, California. You can reach out to his office (for appointments etc.) via phone at (336) 689-0437.

Timothy Samuel Waddell is licensed to practice in California (license number 95034330) 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 1629878467.

Contact Information

	Timothy Samuel Waddell, FNP
	21460 Golden Hills Blvd Unit B, Tehachapi, CA 93561-6636
	(336) 689-0437
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Samuel Waddell
Gender	Male
Speciality	Nurse Practitioner - Family
Location	21460 Golden Hills Blvd Unit B, Tehachapi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629878467
Provider Enumeration Date: 03/18/2025
Last Update Date: 07/31/2025

Medicare PECOS Information:

PECOS PAC ID: 9335666221
Enrollment ID: I20250505001546

Medical Identifiers

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

Identifier	Type	State	Issuer
1629878467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95034330 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95034330 (California)	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 Samuel Waddell allows following entities to bill medicare on his behalf.

Entity Name	Emergency Physicians Urgent Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689963845 PECOS PAC ID: 8527234418 Enrollment ID: O20111227000049

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 Samuel Waddell 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 Samuel Waddell, FNP 21460 Golden Hills Blvd Unit B, Tehachapi, CA 93561-6636 Ph: (336) 689-0437	Timothy Samuel Waddell, FNP 21460 Golden Hills Blvd Unit B, Tehachapi, CA 93561-6636 Ph: (336) 689-0437

Reviews and Comments

Nurse Practitioner Nurses in Tehachapi, CA

Kim Tucker, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 N Mill St, Tehachapi, CA 93561 Phone: 866-707-6664
Meghan Escoto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 93561, 20111 W Valley Blvd, Tehachapi, CA 93561 Phone: 661-238-0600 Fax: 661-836-5088
Navpreet Kaur, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20960 Sage Ln, Tehachapi, CA 93561 Phone: 661-823-2273
Diane Kathryn Peterson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23970 Jacaranda Dr, Tehachapi, CA 93561 Phone: 661-821-3821 Fax: 661-821-1217
Sonia Theresa Aguirre, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24900 Highway 202, Tehachapi, CA 93561 Phone: 661-822-4402
Mrs. Rita Senie Trumbull, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18301 Pellisier Rd, Tehachapi, CA 93561 Phone: 661-300-0466
Ms. Janice K Polletta, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105w E St, Tehachapi, CA 93561 Phone: 661-823-7070 Fax: 661-823-0235

Timothy Samuel Waddell, FNP - Medicare Nurse Practitioner in Tehachapi, CA