Dr Tiffany Nicole Holland, MD - Medicare Family Medicine in Lake Zurich, IL

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Dr Tiffany Nicole Holland, MD is a medicare enrolled "Family Medicine" physician in Lake Zurich, Illinois. Her current practice location is 350 Surryse Rd Ste 100, Lake Zurich, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 438-2144.

Dr Tiffany Nicole Holland is licensed to practice in Illinois (license number 036146440) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154551620.

Contact Information

Dr Tiffany Nicole Holland, MD
350 Surryse Rd Ste 100,
Lake Zurich, IL 60047-3217
(847) 438-2144
Not Available

Map and Direction




Physician's Profile

Full NameDr Tiffany Nicole Holland
GenderFemale
SpecialityFamily Medicine
Location350 Surryse Rd Ste 100, Lake Zurich, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154551620
  • Provider Enumeration Date: 07/19/2009
  • Last Update Date: 10/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2365746104
  • Enrollment ID: I20180816002787

Medical Identifiers

Medical identifiers for Dr Tiffany Nicole Holland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154551620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036146440 (Illinois)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. Dr Tiffany Nicole Holland allows following entities to bill medicare on her behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameWaukegan Clinic Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306937289
PECOS PAC ID: 4284631086
Enrollment ID: O20061108000240

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 Tiffany Nicole Holland 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 Tiffany Nicole Holland, MD
29373 Network Pl,
Chicago, IL 60673-3318

Ph: (847) 390-5900		Dr Tiffany Nicole Holland, MD
350 Surryse Rd Ste 100,
Lake Zurich, IL 60047-3217

Ph: (847) 438-2144

Reviews and Comments


Family Medicine Doctors in Lake Zurich, IL

Alison J Drumm, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 Surryse Rd, Lake Zurich, IL 60047
Phone: 847-438-2144    Fax: 847-438-1597
Raymond Samuel Bianchi, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 290 N Rand Rd, Suite A, Lake Zurich, IL 60047
Phone: 847-438-4028    
John W Kolb, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047
Phone: 847-438-2144    Fax: 847-438-1597
Robby Edo, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 Surryse Rd Ste 100, Lake Zurich, IL 60047
Phone: 847-438-2144    
Shad S Ahmad, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047
Phone: 847-438-2144    Fax: 847-438-1597
Somiya Haider, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 350 Surryse Rd Ste 100, Lake Zurich, IL 60047
Phone: 847-438-2144    Fax: 847-438-4654

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.