Tim Daniel Moeller, PA- C is a medicare enrolled "Physician Assistant" physician in Hinsdale, Illinois. He graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dupage Medical Group Ltd and his current practice location is
40 S Clay St, Hinsdale, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 286-5050.
Tim Daniel Moeller is licensed to practice in Illinois (license number 085-008949) 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 1669119301.
Physician's Profile
| Full Name | Tim Daniel Moeller |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 40 S Clay St, Hinsdale, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tim Daniel Moeller graduated from medical school in 2022
NPI Data:
- NPI Number: 1669119301
- Provider Enumeration Date: 05/15/2022
- Last Update Date: 07/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921488206
- Enrollment ID: I20220705000363
Medical Identifiers
Medical identifiers for Tim Daniel Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669119301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 085.008949 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 085-008949 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dupage Medical Group Ltd | 5496667941 | 1186 |
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. Tim Daniel Moeller 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 |
|---|
Tim Daniel Moeller, PA- C
1860 Paysphere Cir,
Chicago, IL 60674-0018
Ph: (630) 469-9200 | Tim Daniel Moeller, PA- C
40 S Clay St,
Hinsdale, IL 60521-3257
Ph: (630) 286-5050 |
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