Tomasz Piotr Lis, MD - Medicare Family Practice in Chicago, IL

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Tomasz Piotr Lis, MD is a medicare enrolled "Family Medicine" physician in Chicago, Illinois. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Crawford Hospital District, Genesis Health System, Jackson County Public Hospital and his current practice location is 2233 W Division St, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 770-2000.

Tomasz Piotr Lis is licensed to practice in Indiana (license number 01083261A) 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 1003122151.

Contact Information

Tomasz Piotr Lis, MD
2233 W Division St,
Chicago, IL 60622-8151
(312) 770-2000
Not Available

Map and Direction




Physician's Profile

Full NameTomasz Piotr Lis
GenderMale
SpecialityFamily Practice
Experience5 Years
Location2233 W Division St, Chicago, 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:
  • Tomasz Piotr Lis graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1003122151
  • Provider Enumeration Date: 08/26/2010
  • Last Update Date: 01/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8325273832
  • Enrollment ID: I20200909000994

Medical Identifiers

Medical identifiers for Tomasz Piotr Lis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003122151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01083261A (Indiana)Secondary
207Q00000XFamily Medicine 01083261A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Starke HospitalKnox, INHospital
Jackson County Regional Health CenterMaquoketa, IAHospital
Genesis Medical Center-dewittDewitt, IAHospital
Crawford Memorial HospitalRobinson, ILHospital
Ripon Medical CenterRipon, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Crawford Hospital District771989807170
Genesis Health System7214841436216
Jackson County Public Hospital125424895815

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. Tomasz Piotr Lis allows following entities to bill medicare on his behalf.
Entity NameCrawford Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861423287
PECOS PAC ID: 7719898071
Enrollment ID: O20040205000950
Entity NameStatera Health Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043874449
PECOS PAC ID: 0244565729
Enrollment ID: O20190708000284
Entity NameSanburg Emergency Group, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992337000
PECOS PAC ID: 4688003957
Enrollment ID: O20200408000461

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. Tomasz Piotr Lis 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
Tomasz Piotr Lis, MD
501 E. Lincoln St., Po Box 106,
Hendricks, MN 56136

Ph: (507) 275-3121		Tomasz Piotr Lis, MD
2233 W Division St,
Chicago, IL 60622-8151

Ph: (312) 770-2000

Reviews and Comments


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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.