Carly Tock, in Urbana, IL - Medicare Dietitian, Registered Provider

Carly Tock, is a medicare enrolled "Dietitian, Registered" provider in Urbana, Illinois. Her current practice location is 1400 W Park St, Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 337-2000.

Carly Tock is licensed to practice in Illinois (license number 164008276) 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 1447842299.

Contact Information

	Carly Tock,
	1400 W Park St, Urbana, IL 61801-2334
	(217) 337-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Tock
Gender	Female
Speciality	Dietitian, Registered
Location	1400 W Park St, Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447842299
Provider Enumeration Date: 02/03/2021
Last Update Date: 02/03/2021

Medicare PECOS Information:

PECOS PAC ID: 8628435708
Enrollment ID: I20230605002536

Medical Identifiers

Medical identifiers for Carly Tock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447842299	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	164008276 (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. Carly Tock allows following entities to bill medicare on her behalf.

Provider Name	Gibson Community Hospital Association
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1114935681 PECOS PAC ID: 5092703124 Enrollment ID: O20040505001293

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. Carly Tock 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
Carly Tock, 407 Orchard Dr, Mahomet, IL 61853-3687 Ph: () -	Carly Tock, 1400 W Park St, Urbana, IL 61801-2334 Ph: (217) 337-2000

Reviews and Comments

Dietitian, Registered in Urbana, IL

Jennifer Caulfield, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Carle Clinic, 602 West University Avenue, Endocrinology, Urbana, IL 61801 Phone: 217-383-5346
Angela Todd, Dietitian Medicare: Not Enrolled in Medicare Practice Location: Provena Covenant Medical Center, 1400 West Park Street, Urbana, IL 61801 Phone: 217-337-4520
Melissa Schumacher, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Nutrition Services, Urbana, IL 61801 Phone: 217-337-4520
Shelly Palmer, MS, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 905 S Goodwin Ave Ofc 567, Urbana, IL 61801 Phone: 217-300-2216
Noelle Park, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2000
Audra Leigh Cisna, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Urbana, IL 61801 Phone: 217-337-2890

Carly Tock, - Medicare Dietitian in Urbana, IL