Dr Timothy A Connor, PSYD - Medicare Psychologist in Idaho Falls, ID

Dr Timothy A Connor, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Idaho Falls, Idaho. His current practice location is 211 S Woodruff Ave, Suite J, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-5548.

Dr Timothy A Connor is licensed to practice in Idaho (license number 202118) 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 1780625954.

Contact Information

Dr Timothy A Connor, PSYD
211 S Woodruff Ave, Suite J,
Idaho Falls, ID 83401-4369
(208) 529-5548
(208) 529-5588



Healthcare Provider's Profile

Full NameDr Timothy A Connor
GenderMale
SpecialityPsychologist - Clinical
Location211 S Woodruff Ave, Idaho Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780625954
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2062422512
  • Enrollment ID: I20080411000127

Medical Identifiers

Medical identifiers for Dr Timothy A Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780625954NPI-NPPES
N6279OtherIDBLUE CROSS
000010155441OtherIDREGENCE BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 202118 (Idaho)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 A Connor allows following entities to bill medicare on his behalf.
Entity NameDhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508802489
PECOS PAC ID: 0547170383
Enrollment ID: O20040130000453

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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 A Connor 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 A Connor, PSYD
211 S Woodruff Ave, Suite J,
Idaho Falls, ID 83401-4369

Ph: (208) 529-5548
Dr Timothy A Connor, PSYD
211 S Woodruff Ave, Suite J,
Idaho Falls, ID 83401-4369

Ph: (208) 529-5548

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Psychologist in Idaho Falls, ID

Melinda L Jorgensen, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 3417 Merlin Dr, Ste 102, Idaho Falls, ID 83404
Phone: 208-552-0850    Fax: 208-529-5011
Dr. Kelli M Bishop, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 111 E 16th St, Idaho Falls, ID 83404
Phone: 208-523-1130    
Kimberly Sue Kelly,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 630 S Woodruff Ave, Idaho Falls, ID 83401
Phone: 208-535-0505    
Ben L Walters, ED.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2871 Agnes St, Idaho Falls, ID 83402
Phone: 208-270-2716    
Dr. Rosa Maria Mulser, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1710 Woodruff Park Salon Suites, Suite 1, Idaho Falls, ID 83401
Phone: 208-888-8873    
Douglas E. Craig, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3670 S 25th E, #2, Idaho Falls, ID 83404
Phone: 208-201-6124    
Dr. Tanner Mitchell Nielsen, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404
Phone: 208-419-3002    Fax: 208-656-5652

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