Dr Timothy Robert Wysozan, MD in Indianapolis, IN

Dr Timothy Robert Wysozan, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Indianapolis, Indiana. His current practice location is 350 W 11th St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 491-6000.

Dr Timothy Robert Wysozan is licensed to practice in Indiana (license number 01087075A) 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 1992202717.

Contact Information

	Dr Timothy Robert Wysozan, MD
	350 W 11th St, Indianapolis, IN 46202-4108
	(317) 491-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Timothy Robert Wysozan
Gender	Male
Speciality	Pathology - Dermatopathology
Location	350 W 11th St, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992202717
Provider Enumeration Date: 04/09/2018
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 8921353731
Enrollment ID: I20230707000277

Medical Identifiers

Medical identifiers for Dr Timothy Robert Wysozan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992202717	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0900X	Dermatology - Dermatopathology	036163174 (Illinois)	Secondary
207ZD0900X	Pathology - Dermatopathology	01087075A (Indiana)	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 Robert Wysozan allows following entities to bill medicare on his behalf.

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20031110000535

Entity Name	Laboratory & Pathology Diagnostics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285713826 PECOS PAC ID: 4486630886 Enrollment ID: O20040626000144

Entity Name	Oak Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487168258 PECOS PAC ID: 7810256849 Enrollment ID: O20180118002702

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 Robert Wysozan 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 Robert Wysozan, MD 350 W 11th St, Indianapolis, IN 46202-4108 Ph: (317) 491-6000	Dr Timothy Robert Wysozan, MD 350 W 11th St, Indianapolis, IN 46202-4108 Ph: (317) 491-6000

Reviews and Comments

Pathology Doctors in Indianapolis, IN

Dr. Manan Chandrakant Patel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2560 N. Shadeland Avenue, Suite A, Indianapolis, IN 46219 Phone: 317-275-8072 Fax: 317-275-8124
Dr. John M. Oscherwitz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2560 N. Shadeland Ave., Suite A, Indianapolis, IN 46219 Phone: 317-275-8072 Fax: 317-275-8018
Harvey Cramer, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-788-0000
Dr. Craig M. Novy, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2560 N. Shadeland Ave., Suite A, Indianapolis, IN 46219 Phone: 317-275-8072 Fax: 317-275-8018
Darin L Wolfe, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 635 Barnhill Dr # A128, Indianapolis, IN 46202 Phone: 317-274-4806
Muhammad Ahmad, MD Pathology Medicare: Medicare Enrolled Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-491-6000 Fax: 317-491-6534
Carina Anja Dehner, MD, PHD Pathology Medicare: May Accept Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-491-6000 Fax: 317-491-6534

Dr Timothy Robert Wysozan, MD - Medicare Pathology in Indianapolis, IN