Timothy R Roberts, MD in Wild Rose, WI - Medicare Family Practice

Timothy R Roberts, MD is a medicare enrolled "Family Medicine" physician in Wild Rose, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare Incorporated and his current practice location is 601 Grove Ave, Wild Rose, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 622-3257.

Timothy R Roberts is licensed to practice in Wisconsin (license number 48464) 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 1386612836.

Contact Information

	Timothy R Roberts, MD
	601 Grove Ave, Wild Rose, WI 54984-6903
	(920) 622-3257
	Not Available

Map and Direction

Physician's Profile

Full Name	Timothy R Roberts
Gender	Male
Speciality	Family Practice
Experience	20 Years
Location	601 Grove Ave, Wild Rose, Wisconsin
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:

Timothy R Roberts attended and graduated from University Of Wisconsin School Of Medicine in 2004

NPI Data:

NPI Number: 1386612836
Provider Enumeration Date: 03/10/2006
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 1759388218
Enrollment ID: I20061026000373

Medical Identifiers

Medical identifiers for Timothy R Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386612836	NPI	-	NPPES
34899200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	48464 (Wisconsin)	Secondary
207Q00000X	Family Medicine	48464 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Medical Center - Wild Rose	Wild rose, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Thedacare Incorporated	1759294887	493

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 R Roberts allows following entities to bill medicare on his behalf.

Entity Name	Thedacare Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088

Entity Name	Thedacare Medical Center - New London, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254

Entity Name	Thedacare Medical Center - Wild Rose, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20040615000235

Entity Name	Thedacare Medical Center - Wild Rose, Inc.
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20070305000280

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 R Roberts 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
Timothy R Roberts, MD 601 Grove Ave, Wild Rose, WI 54984-6903 Ph: (920) 622-3257	Timothy R Roberts, MD 601 Grove Ave, Wild Rose, WI 54984-6903 Ph: (920) 622-3257

Reviews and Comments

Family Medicine Doctors in Wild Rose, WI

Gilbert D. Steffanides, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-6017
Sabahat Mohsin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257
Teresita Romana, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-5560 Fax: 920-622-4198
Michael R Staudinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-5560 Fax: 920-622-5598
Dr. Verona Maierhofer Ittiara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257
Chandler D Caves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-6020
Chad E Voskuil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-5593

Timothy R Roberts, MD - Medicare Family Practice in Wild Rose, WI