Tyler James Rafferty, FNP-BC in Rockford, IL - Medicare Nurse Practitioner

Tyler James Rafferty, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Illinois. His current practice location is 5666 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 226-2000.

Tyler James Rafferty is licensed to practice in Illinois (license number 209027848) 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 1003596263.

Contact Information

	Tyler James Rafferty, FNP-BC
	5666 E State St, Rockford, IL 61108-2425
	(815) 226-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Tyler James Rafferty
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5666 E State St, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003596263
Provider Enumeration Date: 07/24/2023
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8729432372
Enrollment ID: I20230929002623

Medical Identifiers

Medical identifiers for Tyler James Rafferty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003596263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209027848 (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. Tyler James Rafferty allows following entities to bill medicare on his behalf.

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Tyler James Rafferty 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 Address	Practice Location Address
Tyler James Rafferty, FNP-BC 3739 W Cedarville Rd, Freeport, IL 61032-8533 Ph: (815) 721-3796	Tyler James Rafferty, FNP-BC 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 226-2000

Reviews and Comments

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, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1235 N Mulford Rd Ste 222, Rockford, IL 61107 Phone: 815-397-8400
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
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

Tyler James Rafferty, FNP-BC - Medicare Nurse Practitioner in Rockford, IL