Jonathan Nitz, MD in Peoria, IL

Jonathan Nitz, MD is a medicare enrolled "Surgery" physician in Peoria, Illinois. His current practice location is 624 Ne Glen Oak Ave, Room 2670, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-3971.

Jonathan Nitz is licensed to practice in Illinois (license number 125.069354) 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 1548611924.

Contact Information

	Jonathan Nitz, MD
	624 Ne Glen Oak Ave, Room 2670, Peoria, IL 61603-3135
	(309) 655-3971
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Nitz
Gender	Male
Speciality	Surgery
Location	624 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548611924
Provider Enumeration Date: 06/27/2016
Last Update Date: 06/27/2016

Medicare PECOS Information:

PECOS PAC ID: 4183919749
Enrollment ID: I20240813004269

Medical Identifiers

Medical identifiers for Jonathan Nitz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548611924	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	125.069354 (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. Jonathan Nitz allows following entities to bill medicare on his behalf.

Entity Name	Specialty Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174842181 PECOS PAC ID: 9537291323 Enrollment ID: O20100714000297

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. Jonathan Nitz 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
Jonathan Nitz, MD 2110 W Geneva Rd, Peoria, IL 61615-6204 Ph: (502) 320-4248	Jonathan Nitz, MD 624 Ne Glen Oak Ave, Room 2670, Peoria, IL 61603-3135 Ph: (309) 655-3971

Reviews and Comments

Surgery Doctors in Peoria, IL

Alexandra Roper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Charles Aprahamian, MD Surgery Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948
Dr. Andy C. Chiou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545
Mr. James Murray Jeffries Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500
Mr. Julius P. Bonello, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, Suite 300, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545
Dr. Jeffrey L Williamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 530, Peoria, IL 61602 Phone: 309-672-5975 Fax: 309-655-1678
Timothy A Pflederer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603 Phone: 309-676-8123 Fax: 309-676-8455

Jonathan Nitz, MD - Medicare Surgery in Peoria, IL