Dr Timothy Raymond Niedzielak, DO in Rockford, IL

Dr Timothy Raymond Niedzielak, DO is a medicare enrolled "Orthopaedic Surgery" physician in Rockford, Illinois. His current practice location is 8201 E Riverside Blvd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 971-7000.

Dr Timothy Raymond Niedzielak is licensed to practice in Illinois (license number 036165587) 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 1972028421.

Contact Information

	Dr Timothy Raymond Niedzielak, DO
	8201 E Riverside Blvd, Rockford, IL 61114-2300
	(815) 971-7000
	(815) 968-7830

Map and Direction

Physician's Profile

Full Name	Dr Timothy Raymond Niedzielak
Gender	Male
Speciality	Orthopaedic Surgery
Location	8201 E Riverside Blvd, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972028421
Provider Enumeration Date: 08/06/2017
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 6103200951
Enrollment ID: I20220829002478

Medical Identifiers

Medical identifiers for Dr Timothy Raymond Niedzielak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972028421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	5665 (Florida)	Secondary
207X00000X	Orthopaedic Surgery	2022018519 (Missouri)	Secondary
207XX0801X	Orthopaedic Surgery - Orthopaedic Trauma	2022018519 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	5665 (Florida)	Secondary
207X00000X	Orthopaedic Surgery	036165587 (Illinois)	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. Dr Timothy Raymond Niedzielak allows following entities to bill medicare on his behalf.

Entity Name	Capital Region Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507

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. Dr Timothy Raymond Niedzielak 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
Dr Timothy Raymond Niedzielak, DO 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000	Dr Timothy Raymond Niedzielak, DO 8201 E Riverside Blvd, Rockford, IL 61114-2300 Ph: (815) 971-7000

Reviews and Comments

Orthopaedic Surgery Doctors in Rockford, IL

Donald H Holder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1235 N Mulford Rd, Rockford, IL 61107 Phone: 815-637-8637
Dr. Steven Milos, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St, Suite 100, Rockford, IL 61104 Phone: 779-696-1900
Thomas J Danaher, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1340 Charles St, Ste 100, Rockford, IL 61104 Phone: 779-696-1900
Jeffrey S. Earhart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498
Jeremiah Albert Pflederer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 801-587-5448
Edric G Schwartz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498
Brian J Bear, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-9491 Fax: 815-381-7498

Dr Timothy Raymond Niedzielak, DO - Medicare Orthopaedic Surgery in Rockford, IL