Dr Emily Anne Tisma, MD - Medicare Emergency Medicine in Chicago, IL

Dr Emily Anne Tisma, MD is a medicare enrolled "Emergency Medicine" physician in Chicago, Illinois. She went to Indiana University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Southeastern Emergency Physicians Llc and her current practice location is 1750 West Harrison Street, Kellogg Suite 108, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-7802.

Dr Emily Anne Tisma is licensed to practice in Illinois (license number 125.074224) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477113009.

Contact Information

Dr Emily Anne Tisma, MD
1750 West Harrison Street, Kellogg Suite 108,
Chicago, IL 60612-3833
(312) 942-7802
Not Available

Map and Direction




Physician's Profile

Full NameDr Emily Anne Tisma
GenderFemale
SpecialityEmergency Medicine
Experience5 Years
Location1750 West Harrison Street, Chicago, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Emily Anne Tisma attended and graduated from Indiana University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1477113009
  • Provider Enumeration Date: 06/17/2019
  • Last Update Date: 06/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799012357
  • Enrollment ID: I20220722000692

Medical Identifiers

Medical identifiers for Dr Emily Anne Tisma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477113009NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.074224 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital
Jewish Hospital - ShelbyvilleShelbyville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeastern Emergency Physicians Llc2466364997516

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 Emily Anne Tisma allows following entities to bill medicare on her behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285

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 Emily Anne Tisma 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 Emily Anne Tisma, MD
1750 West Harrison Street, Kellogg Suite 108,
Chicago, IL 60612-3833

Ph: () -
Dr Emily Anne Tisma, MD
1750 West Harrison Street, Kellogg Suite 108,
Chicago, IL 60612-3833

Ph: (312) 942-7802

Reviews and Comments


Emergency Medicine Doctors in Chicago, IL

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.