Ilya A Khotimsky, MD in Fond Du Lac, WI

Ilya A Khotimsky, MD is a medicare enrolled "Anesthesiology" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Wheaton Franciscan Medical Group Inc and his current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 929-2300.

Ilya A Khotimsky is licensed to practice in Wisconsin (license number 56854) 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 1245563329.

Contact Information

	Ilya A Khotimsky, MD
	430 E Division St, Fond Du Lac, WI 54935-4560
	(920) 929-2300
	Not Available

Map and Direction

Physician's Profile

Full Name	Ilya A Khotimsky
Gender	Male
Speciality	Anesthesiology
Experience	25 Years
Location	430 E Division St, Fond Du Lac, Wisconsin
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:

Ilya A Khotimsky graduated from medical school in 1999

NPI Data:

NPI Number: 1245563329
Provider Enumeration Date: 09/08/2009
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 9032333414
Enrollment ID: I20140605001530

Medical Identifiers

Medical identifiers for Ilya A Khotimsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245563329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	56854-20 (Wisconsin)	Secondary
207LC0200X	Anesthesiology - Critical Care Medicine	56854-20 (Wisconsin)	Secondary
207L00000X	Anesthesiology	56854 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension Columbia St Mary's Hospital Milwaukee	Milwaukee, WI	Hospital
Ascension Se Wisconsin Hospital - St Joseph Campus	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wheaton Franciscan Medical Group Inc	8628980943	565

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. Ilya A Khotimsky allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194473066 PECOS PAC ID: 8628980943 Enrollment ID: O20220620000485

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. Ilya A Khotimsky 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
Ilya A Khotimsky, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (929) 926-8340	Ilya A Khotimsky, MD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 929-2300

Reviews and Comments

Anesthesiology Doctors in Fond Du Lac, WI

Matthew Ryan Purcell, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 812-243-9158
Anthony K Strigenz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300
Jacqueline Lee Bogan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 Fax: 608-262-6247
Dr. Jacob M Waidelich, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8340 Fax: 920-926-8370
Henry T Chang, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300
Thomas J Kunkel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300

Ilya A Khotimsky, MD - Medicare Anesthesiology in Fond Du Lac, WI