Mrs Kylea Marie Tibbs-hnizdo, DMD - Medicare Dentist in Springfield, IL

Mrs Kylea Marie Tibbs-hnizdo, DMD is a medicare enrolled "Dentist" provider in Springfield, Illinois. Her current practice location is 2239 E Cook St, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 788-2300.

Mrs Kylea Marie Tibbs-hnizdo is licensed to practice in Illinois (license number 019028844) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174807705.

Contact Information

Mrs Kylea Marie Tibbs-hnizdo, DMD
2239 E Cook St,
Springfield, IL 62703-1944
(217) 788-2300
(217) 788-2342

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kylea Marie Tibbs-hnizdo
GenderFemale
SpecialityDentist
Location2239 E Cook St, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174807705
  • Provider Enumeration Date: 09/30/2011
  • Last Update Date: 03/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113203993
  • Enrollment ID: I20200921000436

Medical Identifiers

Medical identifiers for Mrs Kylea Marie Tibbs-hnizdo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174807705NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 019028844 (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. Mrs Kylea Marie Tibbs-hnizdo allows following entities to bill medicare on her behalf.
Entity NameCass County Public Health Dept
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164596375
PECOS PAC ID: 5395745137
Enrollment ID: O20070202000246

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. Mrs Kylea Marie Tibbs-hnizdo 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
Mrs Kylea Marie Tibbs-hnizdo, DMD
415 S 9th St,
Petersburg, IL 62675-1621

Ph: (217) 415-2426
Mrs Kylea Marie Tibbs-hnizdo, DMD
2239 E Cook St,
Springfield, IL 62703-1944

Ph: (217) 788-2300

Reviews and Comments


Dentist in Springfield, IL

Dr. Tulin Perihan Ozyurt, DMD
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Medicare: Medicare Enrolled
Practice Location: 2239 E Cook St, Springfield, IL 62703
Phone: 217-788-2300    Fax: 217-788-2342
Dr. Matt Gordon Vandermolen, DDS
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Medicare: Medicare Enrolled
Practice Location: 4701 Wabash Ave, Springfield, IL 62711
Phone: 217-546-3333    
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Phone: 888-988-4066    Fax: 847-496-7603
Muzammil Saeed, DDS
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Medicare: Medicare Enrolled
Practice Location: 2239 E Cook St, Springfield, IL 62703
Phone: 217-788-2300    
John Edward Williams, DMD
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Medicare: Not Enrolled in Medicare
Practice Location: 231 N Bruns Ln Bldg C, Springfield, IL 62702
Phone: 217-546-9097    
Ankush Katkade,
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Medicare: Medicare Enrolled
Practice Location: 2239 E Cook St, Springfield, IL 62703
Phone: 217-788-2300    
Kraig D. Osborne, D.M.D.
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Medicare: Medicare Enrolled
Practice Location: 2501 W Iles Ave, Suite B, Springfield, IL 62704
Phone: 217-546-0351    Fax: 217-546-0352

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.