Timothy Drew, is a medicare enrolled "Counselor - Professional" provider in Peoria, Illinois. His current practice location is
7317 N Willow Lake Ct, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 683-7373.
Timothy Drew is licensed to practice in Illinois (license number 180002283) 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 1285711333.
Healthcare Provider's Profile
| Full Name | Timothy Drew |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 7317 N Willow Lake Ct, Peoria, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285711333
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 01/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 2769834639
- Enrollment ID: I20240116002865
Medical Identifiers
Medical identifiers for Timothy Drew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285711333 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 180002283 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180002283 (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 Drew allows following entities to bill medicare on his behalf.
| Entity Name | Saint Francis Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023062312
PECOS PAC ID: 9032021258
Enrollment ID: O20080303000228 |
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| Entity Name | Osf Multi-specialty Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279 |
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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 Drew 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 |
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Timothy Drew,
7317 N Willow Lake Ct,
Peoria, IL 61614-8260
Ph: (309) 683-7373 | Timothy Drew,
7317 N Willow Lake Ct,
Peoria, IL 61614-8260
Ph: (309) 683-7373 |
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