Tiesha Riann Panek, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Cary, Illinois. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Main St Psychiatry Sc and her current practice location is
10 W Main St Ste 101, Cary, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 526-3781.
Tiesha Riann Panek is licensed to practice in Illinois (license number 209026792) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477250595.
Physician's Profile
| Full Name | Tiesha Riann Panek |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 10 W Main St Ste 101, Cary, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tiesha Riann Panek graduated from medical school in 2022
NPI Data:
- NPI Number: 1477250595
- Provider Enumeration Date: 02/09/2023
- Last Update Date: 02/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911358478
- Enrollment ID: I20240109001959
Medical Identifiers
Medical identifiers for Tiesha Riann Panek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477250595 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 209026792 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Main St Psychiatry Sc | 0648535013 | 4 |
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. Tiesha Riann Panek allows following entities to bill medicare on her behalf.
| Entity Name | Main St Psychiatry Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346756491
PECOS PAC ID: 0648535013
Enrollment ID: O20180606000720 |
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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. Tiesha Riann Panek 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 |
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Tiesha Riann Panek, PMHNP-BC
3203 Thompson Rd,
Wonder Lake, IL 60097-8242
Ph: (815) 276-5741 | Tiesha Riann Panek, PMHNP-BC
10 W Main St Ste 101,
Cary, IL 60013-2868
Ph: (815) 526-3781 |
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