Simon A Holoubek, DO - Medicare General Surgery in Rockford, IL

Simon A Holoubek, DO is a medicare enrolled "Surgery" physician in Rockford, Illinois. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2015 and has 9 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Swedishamerican Hospital and his current practice location is 1340 Charles St Ste 100&405, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-8700.

Simon A Holoubek is licensed to practice in Illinois (license number 036-157876) 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 1043697618.

Contact Information

Simon A Holoubek, DO
1340 Charles St Ste 100&405,
Rockford, IL 61104-2200
(779) 696-8700
Not Available



Physician's Profile

Full NameSimon A Holoubek
GenderMale
SpecialityGeneral Surgery
Experience9 Years
Location1340 Charles St Ste 100&405, Rockford, 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:
  • Simon A Holoubek attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2015
  NPI Data:
  • NPI Number: 1043697618
  • Provider Enumeration Date: 05/02/2015
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335434554
  • Enrollment ID: I20210916001179

Medical Identifiers

Medical identifiers for Simon A Holoubek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043697618NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 85540 (Georgia)Secondary
208600000XSurgery 76254 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208600000XSurgery 036-157876 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Swedish American HospitalRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Swedishamerican Hospital5799698346273

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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. Simon A Holoubek allows following entities to bill medicare on his behalf.
Entity NameSwedishamerican Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962451732
PECOS PAC ID: 5799698346
Enrollment ID: O20031215000012

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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. Simon A Holoubek 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
Simon A Holoubek, DO
7974 Uw Health Ct,
Middleton, WI 53562-5531

Ph: () -
Simon A Holoubek, DO
1340 Charles St Ste 100&405,
Rockford, IL 61104-2200

Ph: (779) 696-8700

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Surgery Doctors in Rockford, IL

William James Cowden, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2300 N Rockton Ave, Suite 304, Rockford, IL 61103
Phone: 815-964-3333    Fax: 815-964-3134
Jeffrey Andrew Barteau, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 5668 E State St, Rockford, IL 61108
Phone: 815-229-7580    Fax: 815-229-7585
Dacia Aurelia Pickering, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 5668 E State St, #2, Rockford, IL 61108
Phone: 815-397-7900    Fax: 815-397-4839
Arvind Mahatme, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 7180 Spring Brook Rd, Rockford, IL 61114
Phone: 815-971-2299    Fax: 815-971-9959
Dr. Andrew Paul Hoffman, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 5668 E State St, Rockford, IL 61108
Phone: 815-229-7580    
Dr. Jacinto Garcia Obregon, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 535 Roxbury Rd, Rockford, IL 61107
Phone: 815-398-0175    Fax: 815-398-9587
Dr. David M Cheng, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2350 N Rockton Ave, Rmb 1st Floor, Rockford, IL 61103
Phone: 815-971-2485    

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