Timothy Peterson, MD in Evanston, IL - Medicare Emergency Medicine

Timothy Peterson, MD is a medicare enrolled "Emergency Medicine" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2114.

Timothy Peterson is licensed to practice in Illinois (license number ) 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 1255407755.

Contact Information

	Timothy Peterson, MD
	2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201-1718
	(847) 570-2114
	(847) 570-1223

Map and Direction

Physician's Profile

Full Name	Timothy Peterson
Gender	Male
Speciality	Emergency Medicine
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255407755
Provider Enumeration Date: 11/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123924263
Enrollment ID: I20031210000289

Medical Identifiers

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

Identifier	Type	State	Issuer
1255407755	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	(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. Timothy Peterson allows following entities to bill medicare on his behalf.

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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 Peterson 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 Peterson, MD 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206	Timothy Peterson, MD 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201-1718 Ph: (847) 570-2114

Reviews and Comments

Emergency Medicine Doctors in Evanston, IL

Michael T. Gillam, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine Rm G909, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Evan G Laskaris, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Division Of Emergency Medicine, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Irene C. Yao, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114
Dr. Anastasia Lvovna Khoubaeva, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Korie Lynne Zink, MD, MS Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Yudith Diaz Baez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223
Isaac Kolawole Agboola, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2114 Fax: 847-570-1223

Timothy Peterson, MD - Medicare Emergency Medicine in Evanston, IL