Dr Timothy Immelman, PHD in Winston Salem, NC - Medicare Psychologist Provider

Dr Timothy Immelman, PHD is a medicare enrolled "Psychologist - Health Service" provider in Winston Salem, North Carolina. His current practice location is 3325 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (320) 761-1395.

Dr Timothy Immelman is licensed to practice in North Carolina (license number 103590) 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 1245088186.

Contact Information

	Dr Timothy Immelman, PHD
	3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013
	(320) 761-1395
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Timothy Immelman
Gender	Male
Speciality	Psychologist - Health Service
Location	3325 Silas Creek Pkwy, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245088186
Provider Enumeration Date: 05/07/2024
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 2567991300
Enrollment ID: I20250123003604

Medical Identifiers

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

Identifier	Type	State	Issuer
1245088186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	103590 (North Carolina)	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. Dr Timothy Immelman allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Dr Timothy Immelman 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
Dr Timothy Immelman, PHD 341 Miller St, Winston Salem, NC 27103-3659 Ph: (320) 761-1395	Dr Timothy Immelman, PHD 3325 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (320) 761-1395

Reviews and Comments

Psychologist in Winston Salem, NC

Dr. Jerry W Noble, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, Suite 510, Winston Salem, NC 27104 Phone: 336-748-0809 Fax: 336-748-0809
Mrs. Brittany Johnson Todd, MAED, NCC, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4142 Robinhood Rd, Winston Salem, NC 27106 Phone: 843-833-1998
Dr. Gustavo Rafael Grodnitzky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 736 Mitch Dr, Winston Salem, NC 27104 Phone: 336-659-8058
Sarah Newmeyer Price, PHD Psychologist Medicare: Medicare Enrolled Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-713-5440 Fax: 336-713-5445
Mrs. Crystal Ann Ray, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-713-4500 Fax: 336-713-4501
Dr. William James Mccann, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, #404, Winston Salem, NC 27104 Phone: 336-671-4227
Dr. Timothy Wayne Crawford, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Northgate Park Dr, Winston Salem, NC 27106 Phone: 336-499-3622 Fax: 336-499-3624

Dr Timothy Immelman, PHD - Medicare Psychologist in Winston Salem, NC