| Dr Michael Timins, MD | |
|
350 S Greenleaf St Ste 401, Gurnee, IL 60031-5709 | |
| (314) 238-5260 | |
| (314) 821-1833 |
| Full Name | Dr Michael Timins |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 350 S Greenleaf St Ste 401, Gurnee, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851342505 | NPI | - | NPPES |
| 300040353 | Other | RAILROAD MEDICARE | |
| 002000136V | Other | HUMANA | |
| 036078979 | Medicaid | IL | |
| 1851342505 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 32158 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diaspora Radiology Sc | 0547501942 | 4 |
| Diaspora Radiology Sc | 0547501942 | 4 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Entity Name | Diaspora Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730652017 PECOS PAC ID: 0547501942 Enrollment ID: O20241001002892 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Timins, MD Po Box 772555, Detroit, MI 48277-2555 Ph: (314) 238-5260 | Dr Michael Timins, MD 350 S Greenleaf St Ste 401, Gurnee, IL 60031-5709 Ph: (314) 238-5260 |
Steven M. Nydick, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 S Greenleaf St, Gurnee, IL 60031 Phone: 847-360-1674 | |
Dr. Parvathy D Kurup, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 N Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-623-2114 Fax: 847-623-4628 | |
Matthew D. Pearce, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 S Greenleaf St, Gurnee, IL 60031 Phone: 847-360-1674 | |
Dr. Yashbir Mehta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 N Greenleaf St, Gurnee, IL 60031 Phone: 847-623-2114 |