Simon A Holoubek, DO in Rockford, IL - Medicare General Surgery

Simon A Holoubek, DO is a medicare enrolled "Surgery" physician in Rockford, Illinois. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2015 and has 10 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Swedishamerican Hospital and his current practice location is 1340 Charles St Ste 100&405, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-8700.

Simon A Holoubek is licensed to practice in Illinois (license number 036-157876) 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 1043697618.

Contact Information

	Simon A Holoubek, DO
	1340 Charles St Ste 100&405, Rockford, IL 61104-2200
	(779) 696-8700
	Not Available

Map and Direction

Physician's Profile

Full Name	Simon A Holoubek
Gender	Male
Speciality	General Surgery
Experience	10 Years
Location	1340 Charles St Ste 100&405, Rockford, 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.

Medical Education and Training:

Simon A Holoubek attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015

NPI Data:

NPI Number: 1043697618
Provider Enumeration Date: 05/02/2015
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 9335434554
Enrollment ID: I20210916001179

Medical Identifiers

Medical identifiers for Simon A Holoubek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043697618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	85540 (Georgia)	Secondary
208600000X	Surgery	76254 (Wisconsin)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208600000X	Surgery	036-157876 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish American Hospital	Rockford, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Swedishamerican Hospital	5799698346	332

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. Simon A Holoubek allows following entities to bill medicare on his behalf.

Entity Name	Swedishamerican Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012

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. Simon A Holoubek 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
Simon A Holoubek, DO 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Simon A Holoubek, DO 1340 Charles St Ste 100&405, Rockford, IL 61104-2200 Ph: (779) 696-8700

Reviews and Comments

Surgery Doctors in Rockford, IL

Dr. Cheng H Lo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 209 9th St Ste 200, Rockford, IL 61104 Phone: 779-696-8799 Fax: 779-696-3352
Jeffrey Andrew Barteau, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5668 E State St, Rockford, IL 61108 Phone: 815-229-7580 Fax: 815-229-7585
Dacia Aurelia Pickering, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5668 E State St, #2, Rockford, IL 61108 Phone: 815-397-7900 Fax: 815-397-4839
Arvind Mahatme, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7180 Spring Brook Rd, Rockford, IL 61114 Phone: 815-971-2299 Fax: 815-971-9959
Dr. Andrew Paul Hoffman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5668 E State St, Rockford, IL 61108 Phone: 815-229-7580
Dr. Jacinto Garcia Obregon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 535 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-0175 Fax: 815-398-9587
Dr. Vishnu Raj Kumar Mani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066

Simon A Holoubek, DO - Medicare General Surgery in Rockford, IL