Timothy Whitehead, MD in Peoria, IL - Medicare Interventional Radiology

Timothy Whitehead, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Peoria, Illinois. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Lutheran Medical Center Inc, Tri-county Memorial Hospital Inc and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2000.

Timothy Whitehead is licensed to practice in Illinois (license number 036-132985) 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 1871752428.

Contact Information

	Timothy Whitehead, MD
	530 Ne Glen Oak Ave, Peoria, IL 61637-5429
	(309) 655-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy Whitehead
Gender	Male
Speciality	Interventional Radiology
Experience	17 Years
Location	530 Ne Glen Oak Ave, Peoria, 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 Whitehead graduated from medical school in 2007

NPI Data:

NPI Number: 1871752428
Provider Enumeration Date: 06/07/2008
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 6800011636
Enrollment ID: I20231027001121

Medical Identifiers

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

Identifier	Type	State	Issuer
1871752428	NPI	-	NPPES
0104941	Medicaid	OH
35.123822	Other	OH	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	35.123822 (Ohio)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	82252 (Wisconsin)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	35.123822 (Ohio)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	036-132985 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Lutheran Medical Center	La crosse, WI	Hospital
Saint Francis Medical Center	Peoria, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gundersen Lutheran Medical Center Inc	2163331414	789
Gundersen Lutheran Medical Center Inc	2163331414	789
Tri-county Memorial Hospital Inc	4587642418	55

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 Whitehead allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130807000951

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 Whitehead 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 Whitehead, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272	Timothy Whitehead, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-5429 Ph: (309) 655-2000

Reviews and Comments

Radiology Doctors in Peoria, IL

Dr. Lawrence C Wang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602 Phone: 309-494-9320
Dr. Matthew Trent Carpenter, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Department Of Radiation Oncology, Peoria, IL 61636 Phone: 309-672-5700 Fax: 309-671-2774
Dr. Cameron Wailynn Taylor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Robert T Bockel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602 Phone: 309-494-9320
Dr. Steven J Ullenius, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Dr. Amanda Catherine Cross, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603 Phone: 309-655-2000
Dr. Derek Beatty, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7768

Timothy Whitehead, MD - Medicare Interventional Radiology in Peoria, IL