MEDICARE: DR. WILLIAM M BITSAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036-116859	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295744183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM M BITSAS MD

Provider Business Mailing Address
First Line	:	406 MAPLE LEAF LN
Second Line	:
City	:	POPLAR GROVE
State	:	IL
Zip	:	61065-8567
Country	:	US
Telephone Number	:	541-720-2746
Fax Number	:	541-229-1199

Provider Business Practice Location Address
First Line	:	406 MAPLE LEAF LN
Second Line	:
City	:	POPLAR GROVE
State	:	IL
Zip	:	61065
Country	:	US
Telephone Number	:	541-720-2746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	01/08/2026

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