Tad A Yetter, MD - Medicare Internal Medicine in Havana, IL

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Tad A Yetter, MD is a medicare enrolled "Internal Medicine" physician in Havana, Illinois. He went to Southern Illinois University School Of Medicine and graduated in 1987 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Proctor Health Systems, Carle Health Care Incorporated, Methodist Medical Center Of Illinois and his current practice location is 615 N Promenade St, Havana, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 543-6600.

Tad A Yetter is licensed to practice in Illinois (license number 036079681) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245296979.

Contact Information

Tad A Yetter, MD
615 N Promenade St,
Havana, IL 62644-1015
(309) 543-6600
(309) 543-2089

Map and Direction




Physician's Profile

Full NameTad A Yetter
GenderMale
SpecialityInternal Medicine
Experience39 Years
Location615 N Promenade St, Havana, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tad A Yetter attended and graduated from Southern Illinois University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1245296979
  • Provider Enumeration Date: 04/21/2006
  • Last Update Date: 06/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5496749657
  • Enrollment ID: I20100508000142

Medical Identifiers

Medical identifiers for Tad A Yetter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245296979NPI-NPPES
036079681MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036079681 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carle Health Methodist HospitalPeoria, ILHospital
Mason District HospitalHavana, ILHospital
Graham Hospital AssociationCanton, ILHospital
Saint Francis Medical CenterPeoria, ILHospital
Carle Health Pekin HospitalPekin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proctor Health Systems3476440173131
Carle Health Care Incorporated35775157741592
Methodist Medical Center Of Illinois1355259714387

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. Tad A Yetter allows following entities to bill medicare on his behalf.
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameSchuyler County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013969112
PECOS PAC ID: 9638076474
Enrollment ID: O20031218000430
Entity NameProctor Health Systems
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134173917
PECOS PAC ID: 3476440173
Enrollment ID: O20040227000906
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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. Tad A Yetter 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
Tad A Yetter, MD
615 N Promenade St, P O Box 530,
Havana, IL 62644-1015

Ph: (309) 543-6600		Tad A Yetter, MD
615 N Promenade St,
Havana, IL 62644-1015

Ph: (309) 543-6600

Reviews and Comments


Internal Medicine Doctors in Havana, IL

Dr. Carlos Alberto Urdininea Kirkwood, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Dr. Kayla R Miller, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    
Daniel Patrick Stoops, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-534-8555    
Richard W Wagoner, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 615 N Promenade St, Havana, IL 62644
Phone: 309-543-6600    Fax: 309-543-2089

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.