Mrs Tina M Rucker, MSN, APRN, FNP-C is a medicare enrolled "Family Medicine" physician in Monee, Illinois. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southerncare, Inc. and her current practice location is
25201 S Chennault Ave, Monee, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 376-8810.
Mrs Tina M Rucker is licensed to practice in Illinois (license number 209031107) 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 1306663562.
Physician's Profile
| Full Name | Mrs Tina M Rucker |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 7 Years |
|---|
| Location | 25201 S Chennault Ave, Monee, Illinois |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Tina M Rucker graduated from medical school in 2019
NPI Data:
- NPI Number: 1306663562
- Provider Enumeration Date: 09/20/2024
- Last Update Date: 11/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416478375
- Enrollment ID: I20250307000747
Medical Identifiers
Medical identifiers for Mrs Tina M Rucker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306663562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 209031107 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southerncare, Inc. | 8527977735 | 10 |
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 Tina M Rucker allows following entities to bill medicare on her behalf.
| Entity Name | Absolute Medical Group, Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1407433824
PECOS PAC ID: 6507273844
Enrollment ID: O20210401001938 |
|---|
| Entity Name | Southerncare, Inc. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790566206
PECOS PAC ID: 8527977735
Enrollment ID: O20231201002199 |
|---|
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 Tina M Rucker 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 Tina M Rucker, MSN, APRN, FNP-C
25201 S Chennault Ave,
Monee, IL 60449-9020
Ph: (630) 376-8810 | Mrs Tina M Rucker, MSN, APRN, FNP-C
25201 S Chennault Ave,
Monee, IL 60449-9020
Ph: (630) 376-8810 |
Reviews and Comments