Dr Timothy J Kietzman, MD | |
2015 N Main St, Wheaton, IL 60187-3152 | |
(630) 668-8250 | |
Not Available |
Full Name | Dr Timothy J Kietzman |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 39 Years |
Location | 2015 N Main St, Wheaton, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952689705 | NPI | - | NPPES |
036-073602 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036.073602 (Illinois) | Secondary |
207WX0109X | Ophthalmology - Neuro-ophthalmology | 036.073602 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wheaton Eye Clinic Ltd | 2860475944 | 35 |
Entity Name | Wheaton Eye Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801883004 PECOS PAC ID: 2860475944 Enrollment ID: O20040610000121 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy J Kietzman, MD 2015 N Main St, Wheaton, IL 60187-3152 Ph: (630) 668-8250 | Dr Timothy J Kietzman, MD 2015 N Main St, Wheaton, IL 60187-3152 Ph: (630) 668-8250 |
Dr. Susan J Anderson-nelson, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
Frini A. Makadia, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-9561 | |
Dr. Gregory Lucien Fenton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
Jeremy B Wingard, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
Dr. Carolyn S Oesterle, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
Noha S Ekdawi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 | |
Dr. Richard G Gieser, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2015 N Main St, Wheaton, IL 60187 Phone: 630-668-8250 Fax: 630-668-8916 |