Ilya A Khotimsky, MD - Medicare Anesthesiology in Fond Du Lac, WI

Ilya A Khotimsky, MD is a medicare enrolled "Anesthesiology" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Wheaton Franciscan Medical Group Inc and his current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 929-2300.

Ilya A Khotimsky is licensed to practice in Wisconsin (license number 56854) 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 1245563329.

Contact Information

Ilya A Khotimsky, MD
430 E Division St,
Fond Du Lac, WI 54935-4560
(920) 929-2300
Not Available



Physician's Profile

Full NameIlya A Khotimsky
GenderMale
SpecialityAnesthesiology
Experience25 Years
Location430 E Division St, Fond Du Lac, Wisconsin
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:
  • Ilya A Khotimsky graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1245563329
  • Provider Enumeration Date: 09/08/2009
  • Last Update Date: 12/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032333414
  • Enrollment ID: I20140605001530

Medical Identifiers

Medical identifiers for Ilya A Khotimsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245563329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 56854-20 (Wisconsin)Secondary
207LC0200XAnesthesiology - Critical Care Medicine 56854-20 (Wisconsin)Secondary
207L00000XAnesthesiology 56854 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheaton Franciscan Medical Group Inc8628980943594

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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. Ilya A Khotimsky allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194473066
PECOS PAC ID: 8628980943
Enrollment ID: O20220620000485

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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. Ilya A Khotimsky 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
Ilya A Khotimsky, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (929) 926-8340
Ilya A Khotimsky, MD
430 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 929-2300

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Anesthesiology Doctors in Fond Du Lac, WI

Matthew Ryan Purcell, DO
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 812-243-9158    
Anthony K Strigenz, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-2300    
Jacqueline Lee Bogan, D.O.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    Fax: 608-262-6247
Dr. Jacob M Waidelich, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8340    Fax: 920-926-8370
Lawrence R Bellmore Iii, MD
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-8332    Fax: 920-926-8370
Henry T Chang, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-2300    

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