Tyler Inghram, in Dixon, IL - Medicare Counselor Provider

Tyler Inghram, is a medicare enrolled "Counselor - Mental Health" provider in Dixon, Illinois. His current practice location is 325 Illinois Rt 2, Dixon, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 284-6611.

Tyler Inghram is licensed to practice in * (Not Available) (license number ) 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 1811500390.

Contact Information

	Tyler Inghram,
	325 Illinois Rt 2, Dixon, IL 61021-9118
	(815) 284-6611
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Inghram
Gender	Male
Speciality	Counselor - Mental Health
Location	325 Illinois Rt 2, Dixon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811500390
Provider Enumeration Date: 08/25/2020
Last Update Date: 08/25/2020

Medicare PECOS Information:

PECOS PAC ID: 6608226212
Enrollment ID: I20240112001610

Medical Identifiers

Medical identifiers for Tyler Inghram such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811500390	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Tyler Inghram allows following entities to bill medicare on his behalf.

Entity Name	Sinnissippi Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407143837 PECOS PAC ID: 3476459876 Enrollment ID: O20031208000895

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. Tyler Inghram 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
Tyler Inghram, 69 Plummer Ave, Chadwick, IL 61014-9366 Ph: () -	Tyler Inghram, 325 Illinois Rt 2, Dixon, IL 61021-9118 Ph: (815) 284-6611

Reviews and Comments

Counselor in Dixon, IL

Michelle Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 Depot Ave, Dixon, IL 61021 Phone: 815-288-6057
Robert Lovus Dillon Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-9380
Rae Lynn Metzler8, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611
Ms. Leigh Terrell, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611 Fax: 815-284-6598
Stephanie Marie Binkley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611
Genevieve Gassner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Illinois Rt 2, Dixon, IL 61021 Phone: 815-284-6611
Megan Koch, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Il Route 2, Dixon, IL 61021 Phone: 815-284-6611

Tyler Inghram, - Medicare Counselor in Dixon, IL