Eric Jon Tanner, LCPC in Rockford, IL - Medicare Counselor Provider

Eric Jon Tanner, LCPC is a medicare enrolled "Counselor - Professional" provider in Rockford, Illinois. His current practice location is 5906 Elaine Dr Ste 109, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 212-4721.

Eric Jon Tanner is licensed to practice in Illinois (license number 180.13458) 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 1689269003.

Contact Information

	Eric Jon Tanner, LCPC
	5906 Elaine Dr Ste 109, Rockford, IL 61108-2467
	(779) 212-4721
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Eric Jon Tanner
Gender	Male
Speciality	Counselor - Professional
Location	5906 Elaine Dr Ste 109, 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: 1689269003
Provider Enumeration Date: 03/08/2021
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 4981139045
Enrollment ID: I20241126002107

Medical Identifiers

Medical identifiers for Eric Jon Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689269003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180.13458 (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. Eric Jon Tanner allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

Entity Name	Imagine More Counseling Solutions Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598346561 PECOS PAC ID: 3072048131 Enrollment ID: O20241126001877

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. Eric Jon Tanner 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
Eric Jon Tanner, LCPC 7431 E State St Ste 354, Rockford, IL 61108-2678 Ph: (779) 212-4721	Eric Jon Tanner, LCPC 5906 Elaine Dr Ste 109, Rockford, IL 61108-2467 Ph: (779) 212-4721

Reviews and Comments

Counselor in Rockford, IL

Stephanie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6072 Brynwood Dr Ste 107, Rockford, IL 61114 Phone: 815-846-0684
Logan John Chapman-neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Charlene J Donahoe, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4869 Linden Rd Apt 221, Rockford, IL 61109 Phone: 815-980-8621
Holly Brun, Counselor Medicare: Medicare Enrolled Practice Location: 8616 Northern Ave, Rockford, IL 61107 Phone: 815-332-8003
Jeremy Adon Mcintosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 University Dr, Rockford, IL 61107 Phone: 815-391-1000
Angie Tompkins, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6066 Strathmoor Dr Ste 2, Rockford, IL 61107 Phone: 815-324-3979
Ms. Eileen H Mccarten, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 E State St Ste 316, Rockford, IL 61108 Phone: 815-877-7228 Fax: 815-877-8172

Eric Jon Tanner, LCPC - Medicare Counselor in Rockford, IL