Dr Ty Alexander Tanker, AUD in Rockford, IL - Medicare Audiologist Provider

Dr Ty Alexander Tanker, AUD is a medicare enrolled "Audiologist" provider in Rockford, Illinois. His current practice location is 1253 N Alpine Rd, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (779) 696-9201.

Dr Ty Alexander Tanker is licensed to practice in Iowa (license number 114765) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811636798.

Contact Information

	Dr Ty Alexander Tanker, AUD
	1253 N Alpine Rd, Rockford, IL 61107-2201
	(779) 696-9201
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ty Alexander Tanker
Gender	Male
Speciality	Audiologist
Location	1253 N Alpine Rd, Rockford, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811636798
Provider Enumeration Date: 05/31/2022
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 4183085905
Enrollment ID: I20230726002571

Medical Identifiers

Medical identifiers for Dr Ty Alexander Tanker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811636798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	147001938 (Illinois)	Secondary
231H00000X	Audiologist	114765 (Iowa)	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 Ty Alexander Tanker allows following entities to bill medicare on his behalf.

Provider Name	Swedishamerican Hospital
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012

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 Ty Alexander Tanker 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
Dr Ty Alexander Tanker, AUD 2328 Rocklyn Dr, Urbandale, IA 50322-4935 Ph: (515) 868-1773	Dr Ty Alexander Tanker, AUD 1253 N Alpine Rd, Rockford, IL 61107-2201 Ph: (779) 696-9201

Reviews and Comments

Audiologist in Rockford, IL

Connect Hearing, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3957 N Mulford Rd, Suite 2, Rockford, IL 61114 Phone: 815-637-1777 Fax: 815-637-1776
Dr. Janet L. Depalma, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 435 N Mulford Rd, Suite #10a, Rockford, IL 61107 Phone: 815-399-5279 Fax: 815-399-3764
Emelina Ida Johnson, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 8038 Macintosh Ln, Rockford, IL 61107 Phone: 815-332-6800 Fax: 815-332-6810
Ms. Ann L. Broughton, M.A. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201
Susan A Marshall, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201
Michele K. Jones-fassett, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 698 Featherstone Rd, Rockford, IL 61107 Phone: 815-398-3277 Fax: 815-484-7001
Dr. Corinne Nicole Leonard, AU.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4920 E State St Ste 6, Rockford, IL 61108 Phone: 779-423-6910

Dr Ty Alexander Tanker, AUD - Medicare Audiologist in Rockford, IL