Dr Timothy Melvin Mckenna, DO - Medicare Surgery in East Lansing, MI

Dr Timothy Melvin Mckenna, DO is a medicare enrolled "Surgery" physician in East Lansing, Michigan. His current practice location is 1675 Watertower Place, Suite 100, East Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 332-0200.

Dr Timothy Melvin Mckenna is licensed to practice in Michigan (license number 5101007174) 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 1558352294.

Contact Information

Dr Timothy Melvin Mckenna, DO
1675 Watertower Place, Suite 100,
East Lansing, MI 48823
(517) 332-0200
(517) 332-0963



Physician's Profile

Full NameDr Timothy Melvin Mckenna
GenderMale
SpecialitySurgery
Location1675 Watertower Place, East Lansing, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558352294
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 08/22/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6305734476
  • Enrollment ID: I20040309001212

Medical Identifiers

Medical identifiers for Dr Timothy Melvin Mckenna such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558352294NPI-NPPES
1544295MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 5101007174 (Michigan)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 Melvin Mckenna allows following entities to bill medicare on his behalf.
Entity NameEdward W Sparrow Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457744666
PECOS PAC ID: 6709799166
Enrollment ID: O20150529000465

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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. Dr Timothy Melvin Mckenna 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
Dr Timothy Melvin Mckenna, DO
1675 Watertower Place, Suite 100,
East Lansing, MI 48823

Ph: (517) 332-0200
Dr Timothy Melvin Mckenna, DO
1675 Watertower Place, Suite 100,
East Lansing, MI 48823

Ph: (517) 332-0200

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Surgery Doctors in East Lansing, MI

Dr. James Clarkson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4600 S Hagadorn Rd Ste 600, East Lansing, MI 48823
Phone: 517-267-2460    Fax: 517-884-8602
Robert L Osmer, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4660 South Hagadorn Road, Suite 600, East Lansing, MI 48823
Phone: 517-267-2460    Fax: 517-267-2462
Dr. Harvey Bumpers, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4660 S Hagadorn Rd, #600, East Lansing, MI 48823
Phone: 517-267-2460    Fax: 517-884-8602
Dr. David E Hagan, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1675 Watertower Place, Ste 100, East Lansing, MI 48823
Phone: 517-332-0200    Fax: 517-332-0963
Dr. Janet Rose Osuch, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4600 S Hagadorn Rd # 600, East Lansing, MI 48823
Phone: 517-267-2460    Fax: 517-884-8602
Tong Qu, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 4660 S Hagadorn Rd Ste 600, East Lansing, MI 48823
Phone: 517-267-2460    Fax: 517-884-8602

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