Timothy Vanderweide, CRNA - Medicare Nurse Anesthetist, Certified Registered in Scott City, KS

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Timothy Vanderweide, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scott City, Kansas. His current practice location is 201 Albert Ave, Scott City, Kansas. You can reach out to his office (for appointments etc.) via phone at (620) 872-5811.

Timothy Vanderweide is licensed to practice in Kansas (license number 557379) 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 1023482072.

Contact Information

Timothy Vanderweide, CRNA
201 Albert Ave,
Scott City, KS 67871
(620) 872-5811
(620) 872-3660

Map and Direction




Provider's Profile

Full NameTimothy Vanderweide
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location201 Albert Ave, Scott City, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023482072
  • Provider Enumeration Date: 11/13/2015
  • Last Update Date: 12/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6002111697
  • Enrollment ID: I20160218002017

Medical Identifiers

Medical identifiers for Timothy Vanderweide such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023482072NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 13-112281-051 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 557379 (Kansas)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 Vanderweide allows following entities to bill medicare on his behalf.
Entity NameNess County Hospital District #2
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1457452898
PECOS PAC ID: 6608844022
Enrollment ID: O20061104000370
Entity NameScott County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1144263443
PECOS PAC ID: 5991773103
Enrollment ID: O20180209001211
Entity NameSteel Anesthesia Services PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952914277
PECOS PAC ID: 3173941549
Enrollment ID: O20200916002717

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 Vanderweide 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 AddressPractice Location Address
Timothy Vanderweide, CRNA
201 Albert Ave,
Scott City, KS 67871

Ph: (620) 872-5811		Timothy Vanderweide, CRNA
201 Albert Ave,
Scott City, KS 67871

Ph: (620) 872-5811

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Scott City, KS

Mr. Michael Lee Goode, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 201 Albert Ave, Scott City, KS 67871
Phone: 620-872-5811    Fax: 620-872-3660

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.