Timothy A Pflederer, MD - Medicare Nephrology in Peoria, IL

Timothy A Pflederer, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Peoria, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1988 and has 36 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Osf Multi-specialty Group, Sarah Bush Lincoln Health Center, Renalcare Associates, S.c. and his current practice location is 420 Ne Glen Oak Ave Ste 401, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 676-8123.

Timothy A Pflederer is licensed to practice in Illinois (license number 036084038) 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 1154451573.

Contact Information

Timothy A Pflederer, MD
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603-3112
(309) 676-8123
(309) 676-8455

Map and Direction




Physician's Profile

Full NameTimothy A Pflederer
GenderMale
SpecialityNephrology
Experience36 Years
Location420 Ne Glen Oak Ave Ste 401, Peoria, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy A Pflederer attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1988
  NPI Data:
  • NPI Number: 1154451573
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 05/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234030586
  • Enrollment ID: I20101208001035

Medical Identifiers

Medical identifiers for Timothy A Pflederer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154451573NPI-NPPES
036079640MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036084038 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmc - Peoria DowntownPeoria, ILDialysis facility
Saint Francis Medical CenterPeoria, ILHospital
Graham Hospital AssociationCanton, ILHospital
Methodist Medical Center Of IllinoisPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891552
Sarah Bush Lincoln Health Center5092614867327
Renalcare Associates, S.c.701281834743

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. Timothy A Pflederer allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameRenalcare Associates, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649300377
PECOS PAC ID: 7012818347
Enrollment ID: O20040119000524
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Timothy A Pflederer 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
Timothy A Pflederer, MD
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603-3168

Ph: (309) 676-8123
Timothy A Pflederer, MD
420 Ne Glen Oak Ave Ste 401,
Peoria, IL 61603-3112

Ph: (309) 676-8123

Reviews and Comments


Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6384    Fax: 309-655-7732
Riaz Shah, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636
Phone: 309-672-5729    
Dr. James Daniel Dewar, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7257    
Waqas Ali, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5522    
Dr. Sudhir Mungee, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614
Phone: 309-691-4410    Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6384    Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614
Phone: 309-683-8383    

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.