Timothy J Russell, DO in Tinley Park, IL - Medicare Emergency Medicine

Timothy J Russell, DO is a medicare enrolled "Emergency Medicine" physician in Tinley Park, Illinois. He went to Chicago College Of Osteopathy and graduated in 1982 and has 42 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Loyola University Medical Center, Dupage Medical Group Ltd and his current practice location is 17495 La Grange Rd, Tinley Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 406-3243.

Timothy J Russell is licensed to practice in Illinois (license number 036-0685741) 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 1962418103.

Contact Information

	Timothy J Russell, DO
	17495 La Grange Rd, Tinley Park, IL 60487-7581
	(708) 406-3243
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy J Russell
Gender	Male
Speciality	Emergency Medicine
Experience	42 Years
Location	17495 La Grange Rd, Tinley 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:

Timothy J Russell attended and graduated from Chicago College Of Osteopathy in 1982

NPI Data:

NPI Number: 1962418103
Provider Enumeration Date: 07/31/2006
Last Update Date: 06/15/2022

Medicare PECOS Information:

PECOS PAC ID: 2466417878
Enrollment ID: I20041124000820

Medical Identifiers

Medical identifiers for Timothy J Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962418103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	036-0685741 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loyola University Medical Center	Maywood, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Loyola University Medical Center	3779488903	857
Dupage Medical Group Ltd	5496667941	1186

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 J Russell allows following entities to bill medicare on his behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

Entity Name	Loyola University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027

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 J Russell 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
Timothy J Russell, DO 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 469-9200	Timothy J Russell, DO 17495 La Grange Rd, Tinley Park, IL 60487-7581 Ph: (708) 406-3243

Reviews and Comments

Emergency Medicine Doctors in Tinley Park, IL

Blanca E Herrera, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969
Nicole R Mott, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969
Walid Kandah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6701 159th St, Tinley Park, IL 60477 Phone: 708-429-3300
Dr. Mazen Diab, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 630-873-8875
Dr. Melinda Ann Tobin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-364-3163 Fax: 708-226-1969
Melissa M Nelson, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6701 159th St, Tinley Park, IL 60477 Phone: 708-429-3300
Julie Patacsil, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17495 La Grange Rd, Tinley Park, IL 60487 Phone: 708-406-3243 Fax: 708-226-7161

Timothy J Russell, DO - Medicare Emergency Medicine in Tinley Park, IL