Timothy Duane Starner, MD - Medicare Pediatrics in Madison, WI

Timothy Duane Starner, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Madison, Wisconsin. His current practice location is 5522 Dahlen Dr, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (319) 621-6170.

Timothy Duane Starner is licensed to practice in Wisconsin (license number 70625-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972592004.

Contact Information

Timothy Duane Starner, MD
5522 Dahlen Dr,
Madison, WI 53705-1342
(319) 621-6170
Not Available

Map and Direction




Physician's Profile

Full NameTimothy Duane Starner
GenderMale
SpecialityPediatrics - Pediatric Pulmonology
Location5522 Dahlen Dr, Madison, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972592004
  • Provider Enumeration Date: 10/20/2005
  • Last Update Date: 10/16/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3375622053
  • Enrollment ID: I20231108002501

Medical Identifiers

Medical identifiers for Timothy Duane Starner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972592004NPI-NPPES
34503500MedicaidWI
40226OtherIAWELLMARK BCBS
0235820MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0214XPediatrics - Pediatric Pulmonology 32733 (Iowa)Secondary
2080P0214XPediatrics - Pediatric Pulmonology 70625-20 (Wisconsin)Primary

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 Duane Starner allows following entities to bill medicare on his behalf.
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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 Duane Starner 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 Duane Starner, MD
5522 Dahlen Dr,
Madison, WI 53705-1342

Ph: (319) 621-6170
Timothy Duane Starner, MD
5522 Dahlen Dr,
Madison, WI 53705-1342

Ph: (319) 621-6170

Reviews and Comments


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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).

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