Timothy Whitehead, MD - Medicare Interventional Radiology in Peoria, IL

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Timothy Whitehead, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Peoria, Illinois. He graduated from medical school in 2007 and has 18 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Lutheran Medical Center Inc, Black River Health Inc, Tri-county Memorial Hospital Inc, Saint Elizabeths Hospital Of Wabasha Inc, Vernon Memorial Healthcare Inc and his current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 655-2000.

Timothy Whitehead is licensed to practice in Illinois (license number 036-132985) 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 1871752428.

Contact Information

Timothy Whitehead, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-5429
(309) 655-2000
Not Available

Map and Direction




Physician's Profile

Full NameTimothy Whitehead
GenderMale
SpecialityInterventional Radiology
Experience18 Years
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. 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 Whitehead graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1871752428
  • Provider Enumeration Date: 06/07/2008
  • Last Update Date: 10/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800011636
  • Enrollment ID: I20231027001121

Medical Identifiers

Medical identifiers for Timothy Whitehead such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871752428NPI-NPPES
0104941MedicaidOH
35.123822OtherOHLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 35.123822 (Ohio)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 82252 (Wisconsin)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 35.123822 (Ohio)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 036-132985 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gundersen Lutheran Medical CenterLa crosse, WIHospital
St Elizabeth Medical CenterWabasha, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center Inc2163331414793
Gundersen Lutheran Medical Center Inc2163331414793
Black River Health Inc317343117852
Tri-county Memorial Hospital Inc458764241855
Saint Elizabeths Hospital Of Wabasha Inc509261938782
Vernon Memorial Healthcare Inc832595841654

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 Whitehead allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031113000579
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376593442
PECOS PAC ID: 2163331414
Enrollment ID: O20130807000951

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 Whitehead 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 AddressPractice Location Address
Timothy Whitehead, MD
111 Oakwood Rd,
East Peoria, IL 61611-1853

Ph: (309) 740-4272		Timothy Whitehead, MD
530 Ne Glen Oak Ave,
Peoria, IL 61637-5429

Ph: (309) 655-2000

Reviews and Comments


Radiology Doctors in Peoria, IL

Dr. Lawrence C Wang, MD
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Practice Location: 401 Sw Water St, 1824, Peoria, IL 61602
Phone: 309-494-9320    
Dr. Matthew Trent Carpenter, MD
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Phone: 309-672-5700    Fax: 309-671-2774
Dr. Cameron Wailynn Taylor, MD
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Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
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Robert T Bockel, MD
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Practice Location: 401 Sw Water St, Suite 507, Peoria, IL 61602
Phone: 309-494-9320    
Dr. Steven J Ullenius, MD
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Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Dr. Amanda Catherine Cross, M.D.
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Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2000    
Dr. Derek Beatty, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7768    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.