Mr Timothy J Micek, MD - Medicare Orthopedic Surgery in Southaven, MS

Mr Timothy J Micek, MD is a medicare enrolled "Orthopaedic Surgery" physician in Southaven, Mississippi. He went to State University Of Ny Upstate Medical University and graduated in 1994 and has 30 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Appalachian Regional Healthcare Inc. and his current practice location is 3964 Goodman Rd E, Suite 128, Southaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 420-7350.

Mr Timothy J Micek is licensed to practice in Mississippi (license number 23185) 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 1124106133.

Contact Information

Mr Timothy J Micek, MD
3964 Goodman Rd E, Suite 128,
Southaven, MS 38672-8761
(662) 420-7350
(662) 874-5214



Physician's Profile

Full NameMr Timothy J Micek
GenderMale
SpecialityOrthopedic Surgery
Experience30 Years
Location3964 Goodman Rd E, Southaven, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Timothy J Micek attended and graduated from State University Of Ny Upstate Medical University in 1994
  NPI Data:
  • NPI Number: 1124106133
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7315840782
  • Enrollment ID: I20230519000343

Medical Identifiers

Medical identifiers for Mr Timothy J Micek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124106133NPI-NPPES
01988867MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 64863 (Georgia)Secondary
207X00000XOrthopaedic Surgery MD0000045338 (Tennessee)Secondary
207X00000XOrthopaedic Surgery 23185 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beckley Arh HospitalBeckley, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Appalachian Regional Healthcare Inc.0840107835232

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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. Mr Timothy J Micek allows following entities to bill medicare on his behalf.
Entity NameAppalachian Regional Healthcare Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477510162
PECOS PAC ID: 0840107835
Enrollment ID: O20031210000688

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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. Mr Timothy J Micek 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
Mr Timothy J Micek, MD
3964 Goodman Rd, Ste 128,
Southaven, MS 38672-6494

Ph: (662) 420-7350
Mr Timothy J Micek, MD
3964 Goodman Rd E, Suite 128,
Southaven, MS 38672-8761

Ph: (662) 420-7350

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Orthopaedic Surgery Doctors in Southaven, MS

Dr. William Jacob Weller, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3100    
Dr. Earl Lynn Phillips, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: Msk Group, Pc, 7900 Airways Blvd, Ste. B102, Southaven, MS 38671
Phone: 662-548-2965    Fax: 662-349-9023
Mrs. Marie Joyce Barron, PT, OCS, CMT
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3208    
Dr. John Tom Morris Jr., M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 7580 Clarington Cv, Southaven, MS 38671
Phone: 901-259-1600    Fax: 901-259-1698
Gregory D Dabov, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3100    Fax: 901-759-3196
Benjamin West Sheffer, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7545 Airways Blvd, Southaven, MS 38671
Phone: 901-759-3100    Fax: 901-759-3196

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