Dr Timothy A Kisla, DO is a medicare enrolled "Ophthalmology" physician in New Lenox, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1994 and has 30 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Advanced Eye Care Sc and his current practice location is
1870 Silver Cross Blvd, Suite 110, New Lenox, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 485-2727.
Dr Timothy A Kisla is licensed to practice in Illinois (license number 036097974) 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 1477557445.
Physician's Profile
| Full Name | Dr Timothy A Kisla |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 30 Years |
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| Location | 1870 Silver Cross Blvd, New Lenox, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Timothy A Kisla attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1994
NPI Data:
- NPI Number: 1477557445
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 07/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032004171
- Enrollment ID: I20040330001086
Medical Identifiers
Medical identifiers for Dr Timothy A Kisla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477557445 | NPI | - | NPPES |
| 036097974 | Medicaid | IL | |
| P00061462 | Other | IL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 036097974 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Eye Care Sc | 0446145577 | 6 |
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 Kisla allows following entities to bill medicare on his behalf.
| Entity Name | Advanced Eye Care Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831154947
PECOS PAC ID: 0446145577
Enrollment ID: O20040218000397 |
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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 Kisla 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 Address | Practice Location Address |
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Dr Timothy A Kisla, DO
1870 Silver Cross Blvd, Suite 110,
New Lenox, IL 60451-8639
Ph: (815) 485-2727 | Dr Timothy A Kisla, DO
1870 Silver Cross Blvd, Suite 110,
New Lenox, IL 60451-8639
Ph: (815) 485-2727 |
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