Dr James Faird Tackett, MD in Peoria, IL - Medicare Internal Medicine

Dr James Faird Tackett, MD is a medicare enrolled "Internal Medicine" physician in Peoria, Illinois. He went to West Virginia School Of Osteopathic Medicine and graduated in 1993 and has 32 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Princeton Community Hospital Assn. Inc. and his current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 999-1091.

Dr James Faird Tackett is licensed to practice in Alabama (license number MD.30275) 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 1699787804.

Contact Information

	Dr James Faird Tackett, MD
	221 Ne Glen Oak Ave, Peoria, IL 61636-0001
	(309) 999-1091
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr James Faird Tackett
Gender	Male
Speciality	Internal Medicine
Experience	32 Years
Location	221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare Assignments	Yes. 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 James Faird Tackett attended and graduated from West Virginia School Of Osteopathic Medicine in 1993

NPI Data:

NPI Number: 1699787804
Provider Enumeration Date: 08/13/2006
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 8224934989
Enrollment ID: I20071004000547

Medical Identifiers

Medical identifiers for Dr James Faird Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699787804	NPI	-	NPPES
036117166	Medicaid	IL
36117166	Other	IL	BCBS
P00376164	Other	IL	RAILROAD MCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD.30275 (Alabama)	Primary
207P00000X	Emergency Medicine	036-117166 (Illinois)	Secondary
207P00000X	Emergency Medicine	7956 (West Virginia)	Secondary
207P00000X	Emergency Medicine	ME107562 (Florida)	Secondary
207R00000X	Internal Medicine	TL7008 (Wyoming)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Princeton Community Hospital	Princeton, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Princeton Community Hospital Assn. Inc.	3678482221	138

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 James Faird Tackett allows following entities to bill medicare on his behalf.

Entity Name	Princeton Community Hospital Assn. Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436

Entity Name	Hospitalist Medicine Physicians Of West Virginia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157

Entity Name	Glutality Provider Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200826001964

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 James Faird Tackett 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 James Faird Tackett, MD Rr 1 Box 46-25, Red House, WV 25168-9713 Ph: (304) 586-0915	Dr James Faird Tackett, MD 221 Ne Glen Oak Ave, Peoria, IL 61636-0001 Ph: (309) 999-1091

Reviews and Comments

Internal Medicine Doctors in Peoria, IL

Sandeep Banga, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Riaz Shah, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Suite 504, Peoria, IL 61636 Phone: 309-672-5729
Dr. James Daniel Dewar, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257
Waqas Ali, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522
Dr. Sudhir Mungee, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 North Knoxville Avenue, Peoria, IL 61614 Phone: 309-691-4410 Fax: 309-589-2830
Dr. Nikesh Kavi Patel, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6384 Fax: 309-655-7732
Dr. Bhanu T Paturi, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5105 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-683-8383

Dr James Faird Tackett, MD - Medicare Internal Medicine in Peoria, IL