Timothy R Edison, MD - Medicare Gastroenterology in Neenah, WI

Timothy R Edison, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Neenah, Wisconsin. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Surgical Associates Of Neenah, S.c. and his current practice location is 100 Theda Clark Medical Plz Ste 400, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 725-4527.

Timothy R Edison is licensed to practice in Wisconsin (license number 37531) 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 1861425902.

Contact Information

Timothy R Edison, MD
100 Theda Clark Medical Plz Ste 400,
Neenah, WI 54956-2763
(920) 725-4527
(920) 729-2378



Physician's Profile

Full NameTimothy R Edison
GenderMale
SpecialityGastroenterology
Experience37 Years
Location100 Theda Clark Medical Plz Ste 400, Neenah, 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:
  • Timothy R Edison graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1861425902
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 10/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496768053
  • Enrollment ID: I20060726000359

Medical Identifiers

Medical identifiers for Timothy R Edison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861425902NPI-NPPES
32235600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 036078276 (Illinois)Secondary
207RG0100XInternal Medicine - Gastroenterology 37531 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Medical Center - New LondonNew london, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Surgical Associates Of Neenah, S.c.448662525828

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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. Timothy R Edison allows following entities to bill medicare on his behalf.
Entity NameSurgical Associates Of Neenah, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285792341
PECOS PAC ID: 4486625258
Enrollment ID: O20040804001098

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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. Timothy R Edison 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 R Edison, MD
100 Theda Clark Medical Plz Ste 400,
Neenah, WI 54956-2763

Ph: (920) 725-4527
Timothy R Edison, MD
100 Theda Clark Medical Plz Ste 400,
Neenah, WI 54956-2763

Ph: (920) 725-4527

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Internal Medicine Doctors in Neenah, WI

Kelsey Kienert, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Main St, Neenah, WI 54956
Phone: 920-720-1463    
Dr. Benjamin J Duffy, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Theda Clark Medical Plz Ste 420, Neenah, WI 54956
Phone: 920-720-7211    
William L Nelson, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Main St, Neenah, WI 54956
Phone: 920-727-4220    
Dr. Barbara L Lauderdale, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 804 E Forest Ave, Neenah, WI 54956
Phone: 920-722-6692    
Taylor B Doberstein, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 200 Theda Clark Medical Plz Ste 240, Neenah, WI 54956
Phone: 920-831-5050    Fax: 920-727-4511
James R Burns, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Main St, Neenah, WI 54956
Phone: 920-727-4220    
Kim R Riess-sagers, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 300 N Commercial St, Suite 200, Neenah, WI 54956
Phone: 920-886-0818    Fax: 920-886-0773

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