Tyler Pena, in Palos Hills, IL - Medicare Counselor Provider

Tyler Pena, is a medicare enrolled "Counselor - Professional" provider in Palos Hills, Illinois. His current practice location is 10537 S Roberts Rd, Palos Hills, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 974-2300.

Tyler Pena is licensed to practice in Illinois (license number 180014127) 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 1518457365.

Contact Information

	Tyler Pena,
	10537 S Roberts Rd, Palos Hills, IL 60465-1933
	(708) 974-2300
	(708) 974-2498

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Pena
Gender	Male
Speciality	Counselor - Professional
Location	10537 S Roberts Rd, Palos Hills, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518457365
Provider Enumeration Date: 05/17/2018
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2769825868
Enrollment ID: I20240206001520

Medical Identifiers

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

Identifier	Type	State	Issuer
1518457365	NPI	-	NPPES
36216-7940	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180014127 (Illinois)	Primary
101YM0800X	Counselor - Mental Health	(Illinois)	Secondary

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 Pena allows following entities to bill medicare on his behalf.

Entity Name	Deer Oaks Mid West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154978476 PECOS PAC ID: 2264762681 Enrollment ID: O20190927002974

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 Pena 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 Pena, 10537 S Roberts Rd, Palos Hills, IL 60465-1933 Ph: (708) 974-2300	Tyler Pena, 10537 S Roberts Rd, Palos Hills, IL 60465-1933 Ph: (708) 974-2300

Reviews and Comments

Counselor in Palos Hills, IL

Brenda Copeland, CADC, CAMSII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9944 S Roberts Rd Ste 208, Palos Hills, IL 60465 Phone: 708-599-4220
Ms. Kymberly Norton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10537 South Roberts Road, Palos Hills, IL 60465 Phone: 708-233-6685
Miss Audrey Ann Wynne, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 10537 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-233-6685 Fax: 708-233-0231
Ms. Shatara Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10537 S Roberts Rd, Palos Hills, IL 60465 Phone: 312-543-4693
Lexi Dryier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10661 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-714-0095
Maria Susana Cedeno, LCPC, CCTP, ICDVP Counselor Medicare: Not Enrolled in Medicare Practice Location: 10537 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-974-5133 Fax: 312-986-4315
Mr. Benito, Jr. Garcia, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10537 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-974-5127 Fax: 708-974-2498

Tyler Pena, - Medicare Counselor in Palos Hills, IL