Timothy R Williams, DO is a medicare enrolled "Emergency Medicine" physician in Lawrenceville, Illinois. His current practice location is
2200 State St, Lawrenceville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 943-7242.
Timothy R Williams is licensed to practice in Indiana (license number 02001015A) 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 1194723247.
Physician's Profile
Full Name | Timothy R Williams |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 2200 State St, Lawrenceville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194723247
- Provider Enumeration Date: 07/12/2005
- Last Update Date: 03/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 9830094978
- Enrollment ID: I20050209000117
Medical Identifiers
Medical identifiers for Timothy R Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194723247 | NPI | - | NPPES |
245815311 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 02001015AB (Indiana) | Secondary |
207L00000X | Anesthesiology | 036.120252 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 02001015A (Indiana) | 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 R Williams allows following entities to bill medicare on his behalf.
Entity Name | Mid West Hospital Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700341872 PECOS PAC ID: 1658612098 Enrollment ID: O20190411001203 |
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Entity Name | Great Lakes Emergency Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457816514 PECOS PAC ID: 4789925181 Enrollment ID: O20190412000303 |
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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 R Williams 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 R Williams, DO 2200 West State St., Lawrenceville, IL 62439 Ph: (618) 943-7242 | Timothy R Williams, DO 2200 State St, Lawrenceville, IL 62439-1852 Ph: (618) 943-7242 |
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