Dr Timothy C Hollister, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Wilmette, Illinois. He went to University Of Wisconsin School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Metro Chicago Surgical Oncology Llc and his current practice location is
3201 Old Glenview Rd Ste 100, Wilmette, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 512-1849.
Dr Timothy C Hollister is licensed to practice in Illinois (license number 036-104662) 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 1669528428.
Physician's Profile
| Full Name | Dr Timothy C Hollister |
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| Gender | Male |
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| Speciality | Radiation Oncology |
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| Experience | 28 Years |
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| Location | 3201 Old Glenview Rd Ste 100, Wilmette, 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 C Hollister attended and graduated from University Of Wisconsin School Of Medicine in 1996
NPI Data:
- NPI Number: 1669528428
- Provider Enumeration Date: 01/26/2007
- Last Update Date: 10/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 1254403322
- Enrollment ID: I20080707000327
Medical Identifiers
Medical identifiers for Dr Timothy C Hollister such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669528428 | NPI | - | NPPES |
| 036104662 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0001X | Radiology - Radiation Oncology | 036-104662 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Metro Chicago Surgical Oncology Llc | 7214107069 | 15 |
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 C Hollister allows following entities to bill medicare on his behalf.
| Entity Name | Metro Chicago Surgical Oncology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043501448
PECOS PAC ID: 7214107069
Enrollment ID: O20110902000500 |
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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 C Hollister 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 C Hollister, MD
3201 Old Glenview Rd Ste 100,
Wilmette, IL 60091-2964
Ph: (847) 512-1849 | Dr Timothy C Hollister, MD
3201 Old Glenview Rd Ste 100,
Wilmette, IL 60091-2964
Ph: (847) 512-1849 |
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