Dr Timothy Staudacher, MD | |
5n144 Maple Ct, St Charles, IL 60175-6259 | |
(630) 208-3000 | |
Not Available |
Full Name | Dr Timothy Staudacher |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 5n144 Maple Ct, St Charles, 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 |
---|---|---|---|
1740342435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 36084646 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Valley Ambulatory Surgery Center Anesthesiology Ltd | 0345225116 | 11 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Kane Anesthesia Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568407401 PECOS PAC ID: 2769388438 Enrollment ID: O20031211000990 |
Entity Name | Valley Ambulatory Surgery Center Anesthesiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629082326 PECOS PAC ID: 0345225116 Enrollment ID: O20040624000312 |
Mailing Address | Practice Location Address |
---|---|
Dr Timothy Staudacher, MD 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Dr Timothy Staudacher, MD 5n144 Maple Ct, St Charles, IL 60175-6259 Ph: (630) 208-3000 |
Richard M Forster, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 Fax: 630-584-9805 | |
Dr. Maria N. Quartetti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5n144 Maple Ct, St Charles, IL 60175 Phone: 630-208-4060 | |
Dr. Cezar Mallari, M.D Anesthesiology Medicare: Medicare Enrolled Practice Location: 5n144 Maple Ct, St Charles, IL 60175 Phone: 800-242-1131 | |
Robert Berg, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2475 Dean St, St Charles, IL 60175 Phone: 630-584-9800 | |
Ronald A Harmon, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 | |
Jerome Bettag, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2210 Dean St, St Charles, IL 60175 Phone: 630-584-9800 Fax: 630-584-9805 |