Timothy Widener, MD - Medicare Emergency Medicine in Glendale, AZ

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Timothy Widener, MD is a medicare enrolled "Emergency Medicine" physician in Glendale, Arizona. He went to University Of Utah School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Emergency Professional Services Pc and his current practice location is 18701 N 67th Ave, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 561-7222.

Timothy Widener is licensed to practice in Arizona (license number 52601) 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 1619312824.

Contact Information

Timothy Widener, MD
18701 N 67th Ave,
Glendale, AZ 85308-7100
(623) 561-7222
Not Available

Map and Direction




Physician's Profile

Full NameTimothy Widener
GenderMale
SpecialityEmergency Medicine
Experience11 Years
Location18701 N 67th Ave, Glendale, Arizona
Accepts Medicare AssignmentsYes. 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 Widener attended and graduated from University Of Utah School Of Medicine in 2013
  NPI Data:
  • NPI Number: 1619312824
  • Provider Enumeration Date: 05/01/2013
  • Last Update Date: 01/08/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8527353408
  • Enrollment ID: I20160817002213

Medical Identifiers

Medical identifiers for Timothy Widener such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619312824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 52601 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Estrella Medical CenterPhoenix, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Emergency Professional Services Pc690170727270

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 Widener allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518984210
PECOS PAC ID: 6901707272
Enrollment ID: O20040119000693
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameEmergency Group Of Arizona Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameArizona Acute Medical Services 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154860674
PECOS PAC ID: 6204113970
Enrollment ID: O20170505001284
Entity NameTec Emergency Physicians Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157
Entity NameExceptional Physician Group Arizona, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447910229
PECOS PAC ID: 0042605008
Enrollment ID: O20220310000502

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 Widener 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 AddressPractice Location Address
Timothy Widener, MD
18701 N 67th Ave,
Glendale, AZ 85308-7100

Ph: (623) 561-7222		Timothy Widener, MD
18701 N 67th Ave,
Glendale, AZ 85308-7100

Ph: (623) 561-7222

Reviews and Comments


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Dr. Ronald K Sterrenberg, DO
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.