Timothy J Williams, MD is a medicare enrolled "Family Medicine" in Metamora, Illinois. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ksb Medical Group Inc and his current practice location is
901 W Walnut St, Metamora, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 367-4144.
Timothy J Williams is licensed to practice in Illinois (license number 036-133608) 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 1508893595.
Provider's Profile
Full Name | Timothy J Williams |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 13 Years |
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Location | 901 W Walnut St, Metamora, Illinois |
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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 Williams graduated from nursing school in 2011
NPI Data:
- NPI Number: 1508893595
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 02/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567434384
- Enrollment ID: I20131223000150
Medical Identifiers
Medical identifiers for Timothy J Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508893595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085001585 (Illinois) | Secondary |
207Q00000X | Family Medicine | 036-133608 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ksb Medical Group Inc | 7911890009 | 74 |
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 Williams allows following entities to bill medicare on his behalf.
Entity Name | Ksb Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
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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 J 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 J Williams, MD 901 W Walnut St, Metamora, IL 61548-8637 Ph: (309) 367-4144 | Timothy J Williams, MD 901 W Walnut St, Metamora, IL 61548-8637 Ph: (309) 367-4144 |
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