Timothy A Deming, NP - Medicare Nurse Practitioner in Rockford, IL

Timothy A Deming, NP is a medicare enrolled "Nurse Practitioner" in Rockford, Illinois. His current practice location is 1401 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (414) 290-6720.

Timothy A Deming is licensed to practice in Illinois (license number 209008913) 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 1023397064.

Contact Information

Timothy A Deming, NP
1401 E State St,
Rockford, IL 61104-2315
(414) 290-6720
(414) 290-6755



Provider's Profile

Full NameTimothy A Deming
GenderMale
SpecialityNurse Practitioner
Location1401 E State St, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023397064
  • Provider Enumeration Date: 08/09/2011
  • Last Update Date: 08/09/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1153596226
  • Enrollment ID: I20111219000924

Medical Identifiers

Medical identifiers for Timothy A Deming such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023397064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209008913 (Illinois)Primary

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 A Deming allows following entities to bill medicare on his behalf.
Entity NameSound Physicians Emergency Medicine Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184232621
PECOS PAC ID: 6800215146
Enrollment ID: O20201006000945

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Entity NameRockford Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639876634
PECOS PAC ID: 4385007640
Enrollment ID: O20230905000499

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Entity NameBelvidere Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306543319
PECOS PAC ID: 1254794415
Enrollment ID: O20230906000737

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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 A Deming 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 A Deming, NP
111 E Wisconsin Ave, Suite 2000,
Milwaukee, WI 53202-4815

Ph: (414) 290-6720
Timothy A Deming, NP
1401 E State St,
Rockford, IL 61104-2315

Ph: (414) 290-6720

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Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107
Phone: 815-395-1500    Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4215 Newburg Rd, Rockford, IL 61108
Phone: 815-988-8500    Fax: 815-977-5956
Caryn Ann Ruzic, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Tyler James Rafferty, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Angela Giardono, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Melissa L. Inman, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107
Phone: 815-227-9594    Fax: 815-227-9574
Michelle L Bennett, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3505 N Bell School Rd, Rockford, IL 61114
Phone: 779-696-0300    Fax: 815-639-9433

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