234 LAKE ST
ROSCOMMON, MI 48653-9203 US PECOS Enrolled
Timothy J Thornton
Family Medicine Physician
- ROSCOMMON, MI
- Phone: (989)-275-1200
- Last Updated 12/30/2020
Overview
Timothy J Thornton is a Family Medicine Physician in the ROSCOMMON area and has over 28 years of experience. Timothy J Thornton primary office location is at 234 LAKE ST and new patients are welcome to contact this healthcare provider for an appointment. He attended Wayne State University School Of Medicine and graduated 1996
Timothy J Thornton is affiliated with two hospitals in the ROSCOMMON area, including . The NPI number is 1205852936 and the information was updated approximately 4 years ago.
Timothy J Thornton is affiliated with one medical group in the ROSCOMMON area, MUNSON HEALTHCARE GRAYLING.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 4301074560 | MI |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 4112847 | MI |
| MEDICAID | 4154346 | MI |
| Taxonomy | State | Primary? |
|---|---|---|
| Family Medicine Physician - Taxonomy Code 207Q00000X | MI | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20090723000052 |
| PECOS Individual PAC ID: | 8729130620 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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