Dr Tina Renee Entwistle, DPM - Medicare Podiatrist in Rockford, IL

Dr Tina Renee Entwistle, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Rockford, Illinois. Her current practice location is 6778 Mill Rd, Suite 100, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 227-0041.

Dr Tina Renee Entwistle is licensed to practice in Illinois (license number 016-005194) 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 1598985939.

Contact Information

Dr Tina Renee Entwistle, DPM
6778 Mill Rd, Suite 100,
Rockford, IL 61108-2502
(815) 227-0041
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Tina Renee Entwistle
GenderFemale
SpecialityPodiatrist - Foot & Ankle Surgery
Location6778 Mill Rd, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598985939
  • Provider Enumeration Date: 04/26/2007
  • Last Update Date: 01/11/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1759462781
  • Enrollment ID: I20080116000413

Medical Identifiers

Medical identifiers for Dr Tina Renee Entwistle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598985939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 016-005194 (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. Dr Tina Renee Entwistle allows following entities to bill medicare on her behalf.
Provider NameTina R. Entwistle, D.p.m., P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1740463678
PECOS PAC ID: 8921189952
Enrollment ID: O20080116000419

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. Dr Tina Renee Entwistle 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
Dr Tina Renee Entwistle, DPM
6778 Mill Rd, Suite 100,
Rockford, IL 61108-2502

Ph: () -
Dr Tina Renee Entwistle, DPM
6778 Mill Rd, Suite 100,
Rockford, IL 61108-2502

Ph: (815) 227-0041

Reviews and Comments


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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.

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