Timothy Lee Pendergrass, MD in Dover Afb, DE - Radiology

Timothy Lee Pendergrass, MD is a Radiology - Diagnostic Radiology physician based in Dover Afb, Delaware. Timothy Lee Pendergrass is licensed to practice in North Dakota (license number 5757) and his current practice location is 300 Tuskegee Blvd, 436 Mdg Cc Ste 1b22, Dover Afb, Delaware. He can be reached at his office (for appointments etc.) via phone at (302) 677-2525.

NPI number for Timothy Lee Pendergrass is 1588651020 and his current mailing address is 300 Tuskegee Blvd, 436 Mdg Cc Ste 1b22, Dover Afb, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588651020.

Contact Information

	Timothy Lee Pendergrass, MD
	300 Tuskegee Blvd, 436 Mdg Cc Ste 1b22, Dover Afb, DE 19902-5300
	(302) 677-2525
	(302) 677-2526

Physician's Profile

Full Name	Timothy Lee Pendergrass
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	300 Tuskegee Blvd, Dover Afb, Delaware
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1588651020
Provider Enumeration Date: 09/30/2005
Last Update Date: 01/22/2008

Medical Identifiers

Medical identifiers for Timothy Lee Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588651020	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	5757 (North Dakota)	Primary

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 Lee Pendergrass is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Timothy Lee Pendergrass, MD 300 Tuskegee Blvd, 436 Mdg Cc Ste 1b22, Dover Afb, DE 19902-5300 Ph: (302) 677-2525	Timothy Lee Pendergrass, MD 300 Tuskegee Blvd, 436 Mdg Cc Ste 1b22, Dover Afb, DE 19902-5300 Ph: (302) 677-2525

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Radiology Doctors in Dover Afb, DE

Dr. Geoffrey Wallace Crawley, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 300 Tuskegee Blvd, Dover Afb, DE 19902
Phone: 302-677-2608

Timothy Lee Pendergrass, MD - Radiology in Dover Afb, DE