Tiffany R Bulliner - Johnson, PT in Homewood, IL - Medicare Physical Therapist In Private Practice Provider

Tiffany R Bulliner - Johnson, PT is a medicare enrolled "Physical Therapist" provider in Homewood, Illinois. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Athletico Ltd and her current practice location is 17751 Halsted St, Homewood, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 249-8346.

Tiffany R Bulliner - Johnson is licensed to practice in Illinois (license number 070016967) 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 1679713234.

Contact Information

	Tiffany R Bulliner - Johnson, PT
	17751 Halsted St, Homewood, IL 60430-2009
	(708) 249-8346
	(708) 957-5465

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany R Bulliner - Johnson
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	18 Years
Location	17751 Halsted St, Homewood, 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:

Tiffany R Bulliner - Johnson graduated from medical school in 2008

NPI Data:

NPI Number: 1679713234
Provider Enumeration Date: 02/23/2009
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2567510761
Enrollment ID: I20090428000026

Medical Identifiers

Medical identifiers for Tiffany R Bulliner - Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679713234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	070016967 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Athletico Ltd	4789602681	2054

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 R Bulliner - Johnson allows following entities to bill medicare on her behalf.

Provider Name	B-t Neurodiagnostics Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760759088 PECOS PAC ID: 8224203401 Enrollment ID: O20111216000442

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20120612000342

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 R Bulliner - Johnson 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
Tiffany R Bulliner - Johnson, PT 625 Enterprise Dr., Oak Brook, IL 60523-8813 Ph: (630) 575-6250	Tiffany R Bulliner - Johnson, PT 17751 Halsted St, Homewood, IL 60430-2009 Ph: (708) 249-8346

Reviews and Comments

Physical Therapist in Homewood, IL

John Lyndon E Lao, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 940 Maple Ave., Homewood, IL 60430 Phone: 708-799-0244
Mr. Jerren Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18352 May St, Homewood, IL 60430 Phone: 708-768-4413
Daniel T Mceowen, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17751 Halsted St, Homewood, IL 60430 Phone: 708-249-8346 Fax: 708-957-5465
Dania Elkhadra, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18428 Governors Hwy, Homewood, IL 60430 Phone: 708-679-2370
Kristin Morrow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18428 Governors Hwy, Homewood, IL 60430 Phone: 708-679-2890
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17751 S Halsted Street, Homewood, IL 60430 Phone: 708-249-8346 Fax: 708-957-5465
Ahmed Abdeldaiem, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17901 Governors Hwy Ste 20, Homewood, IL 60430 Phone: 773-374-7800

Tiffany R Bulliner - Johnson, PT - Medicare Physical Therapist in Homewood, IL