Jeffry Mark Tillery, MD - Medicare Family Medicine in Loves Park, IL

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Jeffry Mark Tillery, MD is a medicare enrolled "Family Medicine" physician in Loves Park, Illinois. His current practice location is 9951 Rock Cut Xing, Loves Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 639-8500.

Jeffry Mark Tillery is licensed to practice in Illinois (license number 036078730) 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 1689602211.

Contact Information

Jeffry Mark Tillery, MD
9951 Rock Cut Xing,
Loves Park, IL 61111-1999
(815) 639-8500
(815) 639-8501

Map and Direction




Physician's Profile

Full NameJeffry Mark Tillery
GenderMale
SpecialityFamily Medicine
Location9951 Rock Cut Xing, Loves Park, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689602211
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 04/06/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0042382582
  • Enrollment ID: I20090210000522

Medical Identifiers

Medical identifiers for Jeffry Mark Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689602211NPI-NPPES
036078730MedicaidIL
553180OtherILMEDICARE GROUP #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036078730 (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. Jeffry Mark Tillery allows following entities to bill medicare on his behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Jeffry Mark Tillery 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
Jeffry Mark Tillery, MD
9951 Rock Cut Xing,
Loves Park, IL 61111-1999

Ph: (815) 639-8500		Jeffry Mark Tillery, MD
9951 Rock Cut Xing,
Loves Park, IL 61111-1999

Ph: (815) 639-8500

Reviews and Comments


Family Medicine Doctors in Loves Park, IL

Dr. Michael Demetrios Kouimelis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111
Phone: 815-639-8500    Fax: 815-639-8501
Ammar M Tarawneh, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111
Phone: 815-971-3397    
Nandini Chattopadhyay, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111
Phone: 815-971-3397    
Michael Mossad, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111
Phone: 815-971-2000    
Sahana Ravindran, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7702 N Alpine Rd, Loves Park, IL 61111
Phone: 815-971-3397    
Dr. Noah James Simon, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111
Phone: 815-639-8500    Fax: 815-639-8501
Mohammed Kaleemuddin, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9951 Rock Cut Xing, Loves Park, IL 61111
Phone: 815-639-8450    Fax: 815-639-8451

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.