Dr Andrew Tannenbaum, MD - Medicare Diagnostic Radiology in Harvard, IL

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Dr Andrew Tannenbaum, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Harvard, Illinois. He went to Boston University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Specialists In Medical Imaging Sc, Rockford Health Physicians and his current practice location is 901 Grant St, Harvard, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 943-5431.

Dr Andrew Tannenbaum is licensed to practice in Illinois (license number 036147111) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1972867315.

Contact Information

Dr Andrew Tannenbaum, MD
901 Grant St,
Harvard, IL 60033-1821
(815) 943-5431
(815) 943-0659

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Physician's Profile

Full NameDr Andrew Tannenbaum
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location901 Grant St, Harvard, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Andrew Tannenbaum attended and graduated from Boston University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1972867315
  • Provider Enumeration Date: 06/29/2012
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981836897
  • Enrollment ID: I20181017001453

Medical Identifiers

Medical identifiers for Dr Andrew Tannenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972867315NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 252241 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology 252241 (Massachusetts)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 036147111 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Javon Bea HospitalRockford, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Specialists In Medical Imaging Sc2163733544202
Rockford Health Physicians2567374036304

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 Andrew Tannenbaum allows following entities to bill medicare on his behalf.
Entity NameRockford Health Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043242886
PECOS PAC ID: 2567374036
Enrollment ID: O20031103000584
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031111000307
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20150626000251

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 Andrew Tannenbaum 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 Andrew Tannenbaum, MD
901 Grant St,
Harvard, IL 60033-1821

Ph: (815) 943-5431		Dr Andrew Tannenbaum, MD
901 Grant St,
Harvard, IL 60033-1821

Ph: (815) 943-5431

Reviews and Comments


Radiology Doctors in Harvard, IL


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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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