Frederick M Tiesenga, MD in Elmwood Park, IL

Frederick M Tiesenga, MD is a medicare enrolled "Surgery" physician in Elmwood Park, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1991 and has 34 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Tiesenga Surgical Associates Sc and his current practice location is 1950 N Harlem Ave, Elmwood Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 453-6800.

Frederick M Tiesenga is licensed to practice in Illinois (license number 36086475) 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 1801875679.

Contact Information

	Frederick M Tiesenga, MD
	1950 N Harlem Ave, Elmwood Park, IL 60707-3717
	(708) 453-6800
	(708) 453-3235

Map and Direction

Physician's Profile

Full Name	Frederick M Tiesenga
Gender	Male
Speciality	General Surgery
Experience	34 Years
Location	1950 N Harlem Ave, Elmwood Park, 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.

Medical Education and Training:

Frederick M Tiesenga attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1991

NPI Data:

NPI Number: 1801875679
Provider Enumeration Date: 01/11/2006
Last Update Date: 04/26/2022

Medicare PECOS Information:

PECOS PAC ID: 9133208085
Enrollment ID: I20100911000085

Medical Identifiers

Medical identifiers for Frederick M Tiesenga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801875679	NPI	-	NPPES
390720	Other	IL	MEDICARE
36086475	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	36086475 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community First Medical Center	Chicago, IL	Hospital
Amita Health Resurrection Medical Center	Chicago, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tiesenga Surgical Associates Sc	5597750901	8

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. Frederick M Tiesenga allows following entities to bill medicare on his behalf.

Entity Name	Tiesenga Surgical Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801876586 PECOS PAC ID: 5597750901 Enrollment ID: O20040420001105

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. Frederick M Tiesenga 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
Frederick M Tiesenga, MD 1950 N Harlem Ave, Elmwood Park, IL 60707 Ph: (708) 453-6800	Frederick M Tiesenga, MD 1950 N Harlem Ave, Elmwood Park, IL 60707-3717 Ph: (708) 453-6800

Reviews and Comments

Surgery Doctors in Elmwood Park, IL

Charles Bradley Schubert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235
Mrs. Deepa Cherla Patel, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 908-227-4052
Henry Robert Govekar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985
Athanasios D. Diniotis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3235
Dr. Juaquito Mario Jorge, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985
Timothy Jordan Stear, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N Harlem Ave, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985
Alexander Knijnikov, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 N. Harlem Ave., Suburban Surgery Center, Elmwood Park, IL 60707 Phone: 708-453-6800 Fax: 708-453-3985

Frederick M Tiesenga, MD - Medicare General Surgery in Elmwood Park, IL