Timothy John Van De Leur, MD is a medicare enrolled "Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery" physician in Summerfield, Florida. He graduated from medical school in 2003 and has 23 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Cora Health Services, Inc., The Orthopaedic Institute, Pa and his current practice location is
17270 Se 109th Terrace Rd, Summerfield, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 336-0000.
Timothy John Van De Leur is licensed to practice in Florida (license number ME133829) 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 1831349679.
Physician's Profile
| Full Name | Timothy John Van De Leur |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 23 Years |
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| Location | 17270 Se 109th Terrace Rd, Summerfield, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy John Van De Leur graduated from medical school in 2003
NPI Data:
- NPI Number: 1831349679
- Provider Enumeration Date: 09/29/2008
- Last Update Date: 10/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 3072665033
- Enrollment ID: I20171026001411
Medical Identifiers
Medical identifiers for Timothy John Van De Leur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831349679 | NPI | - | NPPES |
| P00755860 | Other | | RAILROAD MEDICARE |
| 200961260 | Medicaid | IN | |
| 000000616931 | Other | | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | ME133829 (Florida) | Secondary |
| 207X00000X | Orthopaedic Surgery | 01066338A (Indiana) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 35.122356 (Ohio) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | 01066338A (Indiana) | Secondary |
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | ME133829 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cora Health Services, Inc. | 1759290992 | 844 |
| The Orthopaedic Institute, Pa | 2860385242 | 114 |
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 John Van De Leur allows following entities to bill medicare on his behalf.
| Entity Name | The Orthopaedic Institute, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740373547
PECOS PAC ID: 2860385242
Enrollment ID: O20040209000128 |
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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 John Van De Leur 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 John Van De Leur, MD
4500 W Newberry Rd,
Gainesville, FL 32607-2245
Ph: (352) 336-6000 | Timothy John Van De Leur, MD
17270 Se 109th Terrace Rd,
Summerfield, FL 34491-9015
Ph: (352) 336-0000 |
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