Dr Timothy Michael Peklo, MD - Medicare Family Medicine in Bloomington, IN

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Dr Timothy Michael Peklo, MD is a medicare enrolled "Family Medicine" physician in Bloomington, Indiana. His current practice location is 601 W 2nd St, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 353-9515.

Dr Timothy Michael Peklo is licensed to practice in Indiana (license number 01048993) 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 1811985229.

Contact Information

Dr Timothy Michael Peklo, MD
601 W 2nd St,
Bloomington, IN 47403-2317
(812) 353-9515
Not Available

Map and Direction




Physician's Profile

Full NameDr Timothy Michael Peklo
GenderMale
SpecialityFamily Medicine
Location601 W 2nd St, Bloomington, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811985229
  • Provider Enumeration Date: 10/10/2005
  • Last Update Date: 08/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7810911005
  • Enrollment ID: I20060113000720

Medical Identifiers

Medical identifiers for Dr Timothy Michael Peklo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811985229NPI-NPPES
200224010MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 01048993 (Indiana)Primary
207P00000XEmergency Medicine 01048993A (Indiana)Secondary

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 Michael Peklo allows following entities to bill medicare on his behalf.
Entity NameIndiana University Health Southern Indiana Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556
Entity NameEmergency Professionals Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013951219
PECOS PAC ID: 4183604150
Enrollment ID: O20040721000612
Entity NameIndiana University Health Care Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902032832
PECOS PAC ID: 5799755864
Enrollment ID: O20040727000955
Entity NameIndiana Emergency Professionals Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598068017
PECOS PAC ID: 2365622578
Enrollment ID: O20110204000668
Entity NameIndiana Physician Management Rush Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821364654
PECOS PAC ID: 7618130014
Enrollment ID: O20120523000003
Entity NameIndiana Physician Management - Mercy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225309073
PECOS PAC ID: 6800051319
Enrollment ID: O20120709000441
Entity NameAlteon Health Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952873986
PECOS PAC ID: 0547500613
Enrollment ID: O20190327002994

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 Michael Peklo 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 Michael Peklo, MD
601 W 2nd St,
Bloomington, IN 47403-2317

Ph: (812) 353-9515		Dr Timothy Michael Peklo, MD
601 W 2nd St,
Bloomington, IN 47403-2317

Ph: (812) 353-9515

Reviews and Comments


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Heather A Dickerson, NP
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Phone: 812-855-0619    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.