Timothy R Roberts, MD - Medicare Family Practice in Wild Rose, WI

Timothy R Roberts, MD is a medicare enrolled "Family Medicine" physician in Wild Rose, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Thedacare Incorporated and his current practice location is 601 Grove Ave, Wild Rose, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 622-3257.

Timothy R Roberts is licensed to practice in Wisconsin (license number 48464) 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 1386612836.

Contact Information

Timothy R Roberts, MD
601 Grove Ave,
Wild Rose, WI 54984-6903
(920) 622-3257
Not Available



Physician's Profile

Full NameTimothy R Roberts
GenderMale
SpecialityFamily Practice
Experience20 Years
Location601 Grove Ave, Wild Rose, 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 Roberts attended and graduated from University Of Wisconsin School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1386612836
  • Provider Enumeration Date: 03/10/2006
  • Last Update Date: 08/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759388218
  • Enrollment ID: I20061026000373

Medical Identifiers

Medical identifiers for Timothy R Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386612836NPI-NPPES
34899200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 48464 (Wisconsin)Secondary
207Q00000XFamily Medicine 48464 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Medical Center - Wild RoseWild rose, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887493

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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 Roberts allows following entities to bill medicare on his behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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Entity NameThedacare Medical Center - New London, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538127220
PECOS PAC ID: 5698664480
Enrollment ID: O20040311000254

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Entity NameThedacare Medical Center - Wild Rose, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043263999
PECOS PAC ID: 6507840923
Enrollment ID: O20040615000235

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Entity NameThedacare Medical Center - Wild Rose, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043263999
PECOS PAC ID: 6507840923
Enrollment ID: O20070305000280

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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 Roberts 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 Roberts, MD
601 Grove Ave,
Wild Rose, WI 54984-6903

Ph: (920) 622-3257
Timothy R Roberts, MD
601 Grove Ave,
Wild Rose, WI 54984-6903

Ph: (920) 622-3257

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Family Medicine Doctors in Wild Rose, WI

Gilbert D. Steffanides, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-6017    
Sabahat Mohsin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 601 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-3257    
Teresita Romana, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 701 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-5560    Fax: 920-622-4198
Michael R Staudinger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-5560    Fax: 920-622-5598
Dr. Verona Maierhofer Ittiara, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-3257    
Chandler D Caves, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-3257    Fax: 920-622-6020
Chad E Voskuil, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 601 Grove Ave, Wild Rose, WI 54984
Phone: 920-622-3257    Fax: 920-622-5593

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