Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Evergreen Park, IL

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Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Evergreen Park, Illinois. She graduated from nursing 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 Great Lakes Emergency Physicians Medical Group Sc and her current practice location is 2955 W 95th St, Evergreen Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 422-0022.

Tiffany Claire Wakim Ghantous is licensed to practice in Illinois (license number 209.028519) 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 1396517496.

Contact Information

Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C
2955 W 95th St,
Evergreen Park, IL 60805-2409
(708) 422-0022
Not Available

Map and Direction




Provider's Profile

Full NameTiffany Claire Wakim Ghantous
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2955 W 95th St, Evergreen Park, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tiffany Claire Wakim Ghantous graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1396517496
  • Provider Enumeration Date: 10/23/2023
  • Last Update Date: 03/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6204286768
  • Enrollment ID: I20231223000106

Medical Identifiers

Medical identifiers for Tiffany Claire Wakim Ghantous such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396517496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.028519 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Great Lakes Emergency Physicians Medical Group Sc852749310514

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. Tiffany Claire Wakim Ghantous allows following entities to bill medicare on her behalf.
Entity NameRush University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228
Entity NameDiabetes & Endocrine Care Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627168
PECOS PAC ID: 3779504584
Enrollment ID: O20051208000341

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. Tiffany Claire Wakim Ghantous 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
Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C
445 E Illinois St Unit 5509,
Chicago, IL 60611-0820

Ph: (630) 408-3563		Tiffany Claire Wakim Ghantous, MSN, APRN, FNP-C
2955 W 95th St,
Evergreen Park, IL 60805-2409

Ph: (708) 422-0022

Reviews and Comments


Nurse Practitioner Nurses in Evergreen Park, IL

Mrs. Virginia Morgan, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2800 W 95th St # L, Evergreen Park, IL 60805
Phone: 708-422-6200    
Jennifer Courts, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2955 W 95th St, Evergreen Park, IL 60805
Phone: 708-425-9399    Fax: 708-425-9306
Angelika Fiedorowicz, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2955 W 95th St, Evergreen Park, IL 60805
Phone: 331-204-5896    
Kristin Rogers,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Eilish Marie Mulvey,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3545 W 95th St, Evergreen Park, IL 60805
Phone: 708-346-5562    
Mrs. Vanessa Elizabeth Galloway, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805
Phone: 708-422-7715    
Kunjumol Pullathra Velayudhan, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3650 W 95th St, Evergreen Park, IL 60805
Phone: 708-422-7715    Fax: 708-422-7816

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.