Mathilde Tengue, in Moline, IL - Medicare Nurse Practitioner

Mathilde Tengue, is a medicare enrolled "Nurse Practitioner - Family" in Moline, Illinois. Her current practice location is 4322 7th St, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 517-6222.

Mathilde Tengue is licensed to practice in Illinois (license number 209030276) 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 1366277402.

Contact Information

	Mathilde Tengue,
	4322 7th St, Moline, IL 61265-6867
	(309) 517-6222
	Not Available

Map and Direction

Provider's Profile

Full Name	Mathilde Tengue
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4322 7th St, Moline, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366277402
Provider Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6901336254
Enrollment ID: I20250217000242

Medical Identifiers

Medical identifiers for Mathilde Tengue such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366277402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209030276 (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. Mathilde Tengue allows following entities to bill medicare on her behalf.

Entity Name	Genesis Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477654945 PECOS PAC ID: 7214841436 Enrollment ID: O20060908000380

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. Mathilde Tengue 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
Mathilde Tengue, 4322 7th St, Moline, IL 61265-6867 Ph: (309) 517-6222	Mathilde Tengue, 4322 7th St, Moline, IL 61265-6867 Ph: (309) 517-6222

Reviews and Comments

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Mathilde Tengue, - Medicare Nurse Practitioner in Moline, IL