Dr Timothy Nelson Merrill, MD in Evanston, IL - Medicare Radiology

Dr Timothy Nelson Merrill, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Department Of Radiology, G507, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-2475.

Dr Timothy Nelson Merrill is licensed to practice in Illinois (license number 036-041396) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134140908.

Contact Information

	Dr Timothy Nelson Merrill, MD
	2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201-1718
	(847) 570-2475
	(847) 570-2942

Physician's Profile

Full Name	Dr Timothy Nelson Merrill
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134140908
Provider Enumeration Date: 07/21/2006
Last Update Date: 10/21/2008

Medicare PECOS Information:

PECOS PAC ID: 8224006903
Enrollment ID: I20161014001706

Medical Identifiers

Medical identifiers for Dr Timothy Nelson Merrill such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134140908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	036-041396 (Illinois)	Primary

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. Dr Timothy Nelson Merrill 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
Dr Timothy Nelson Merrill, MD 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201-1718 Ph: (847) 570-2475	Dr Timothy Nelson Merrill, MD 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201-1718 Ph: (847) 570-2475

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Radiology Doctors in Evanston, IL

Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942
Jacob Seth Ecanow, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Radiology, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942

Dr Timothy Nelson Merrill, MD - Medicare Radiology in Evanston, IL