Tim Thistlethwaite, M.d. Pllc - Medicare Mental Health Clinic in Charleston, WV

Tim Thistlethwaite, M.d. Pllc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Psychiatry) in Charleston, West Virginia. The current practice location for Tim Thistlethwaite, M.d. Pllc is 100 Peyton Way, Suite 100, Charleston, West Virginia. For appointments, you can reach them via phone at (304) 205-5207. The mailing address for Tim Thistlethwaite, M.d. Pllc is 100 Peyton Way, Suite 100, Charleston, West Virginia and phone number is (304) 205-5207.

Tim Thistlethwaite, M.d. Pllc is licensed to practice in West Virginia (license number 17498). The clinic also participates in the medicare program and its NPI number is 1386738508. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (304) 205-5207.

Contact Information

Tim Thistlethwaite, M.d. Pllc
100 Peyton Way
Suite 100
Charleston
WV 25309-8767
(304) 205-5207
(304) 205-5318

Mental Health Clinic Profile

Full NameTim Thistlethwaite, M.d. Pllc
SpecialityPsychiatry & Neurology
Location100 Peyton Way, Charleston, West Virginia
Authorized Official Name and PositionTim L Thistlethwaite (OWNER)
Authorized Official Contact3042055207
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tim Thistlethwaite, M.d. Pllc
100 Peyton Way
Suite 100
Charleston
WV 25309-8767

Ph: (304) 205-5207
Tim Thistlethwaite, M.d. Pllc
100 Peyton Way
Suite 100
Charleston
WV 25309-8767

Ph: (304) 205-5207

NPI Details:

NPI Number1386738508
Provider Enumeration Date10/03/2006
Last Update Date10/04/2013

Medicare PECOS Information:

Medicare PECOS PAC ID8426056565
Medicare Enrollment IDO20061128000023

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Medical Identifiers

Medical identifiers for Tim Thistlethwaite, M.d. Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386738508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 1225 (West Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 17498 (West Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tim Thistlethwaite, M.d. Pllc acts as a billing entity for following providers:
Provider NameTimothy L Thistlethwaite
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831284116
PECOS PAC ID: 2860499852
Enrollment ID: I20061106000170

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