Mrs Tiffany Ferguson, FNP-BC in Springfield, IL

Mrs Tiffany Ferguson, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Springfield, Illinois. Her current practice location is 2501 Chatham Rd Ste 4766, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 220-4197.

Mrs Tiffany Ferguson is licensed to practice in Illinois (license number 277000224) 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 1962874032.

Contact Information

	Mrs Tiffany Ferguson, FNP-BC
	2501 Chatham Rd Ste 4766, Springfield, IL 62704-4188
	(847) 220-4197
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany Ferguson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2501 Chatham Rd Ste 4766, Springfield, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962874032
Provider Enumeration Date: 10/28/2015
Last Update Date: 09/12/2023

Medicare PECOS Information:

PECOS PAC ID: 5496059784
Enrollment ID: I20160208000102

Medical Identifiers

Medical identifiers for Mrs Tiffany Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962874032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209013649 (Illinois)	Secondary
163W00000X	Registered Nurse	041358468 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	277000224 (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. Mrs Tiffany Ferguson allows following entities to bill medicare on her behalf.

Entity Name	Northwest Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134433154 PECOS PAC ID: 3375737331 Enrollment ID: O20101103000837

Entity Name	Vitae Health Medical Illinois, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

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 Tiffany Ferguson 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 Tiffany Ferguson, FNP-BC 2501 Chatham Rd Ste 4766, Springfield, IL 62704-4188 Ph: (847) 220-4197	Mrs Tiffany Ferguson, FNP-BC 2501 Chatham Rd Ste 4766, Springfield, IL 62704-4188 Ph: (847) 220-4197

Reviews and Comments

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Mrs Tiffany Ferguson, FNP-BC - Medicare Nurse Practitioner in Springfield, IL