Mrs Kylea Marie Tibbs-hnizdo, DMD 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 Name	Mrs Kylea Marie Tibbs-hnizdo
Gender	Female
Speciality	Dentist
Location	2239 E Cook St, Springfield, Illinois
Accepts Medicare Assignments	Medicare 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.

Identifier	Type	State	Issuer
1174807705	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	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 Name	Cass County Public Health Dept
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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 Dentist Medicare: Not Enrolled in Medicare Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300 Fax: 217-788-2342
Dr. Matt Gordon Vandermolen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4701 Wabash Ave, Springfield, IL 62711 Phone: 217-546-3333
Soo Hyun Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 N 9th St, Springfield, IL 62702 Phone: 888-988-4066 Fax: 847-496-7603
Muzammil Saeed, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300
John Edward Williams, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 231 N Bruns Ln Bldg C, Springfield, IL 62702 Phone: 217-546-9097
Ankush Katkade, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2239 E Cook St, Springfield, IL 62703 Phone: 217-788-2300
Kraig D. Osborne, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 2501 W Iles Ave, Suite B, Springfield, IL 62704 Phone: 217-546-0351 Fax: 217-546-0352

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