Nicole Gabriel Tenegra, MD in Decatur, IL

Nicole Gabriel Tenegra, MD is a medicare enrolled "Family Medicine" physician in Decatur, Illinois. She graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Board Of Trustees Of Southern Illinois University and her current practice location is 102 W Kenwood Ave, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 872-3800.

Nicole Gabriel Tenegra is licensed to practice in Illinois (license number 036-153194) 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 1992234504.

Contact Information

	Nicole Gabriel Tenegra, MD
	102 W Kenwood Ave, Decatur, IL 62526-4368
	(217) 872-3800
	(217) 872-0849

Map and Direction

Physician's Profile

Full Name	Nicole Gabriel Tenegra
Gender	Female
Speciality	Family Practice
Experience	9 Years
Location	102 W Kenwood Ave, Decatur, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Gabriel Tenegra graduated from medical school in 2016

NPI Data:

NPI Number: 1992234504
Provider Enumeration Date: 06/07/2017
Last Update Date: 12/07/2020

Medicare PECOS Information:

PECOS PAC ID: 1254601503
Enrollment ID: I20200721002179

Medical Identifiers

Medical identifiers for Nicole Gabriel Tenegra such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992234504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	125070186 (Illinois)	Secondary
207Q00000X	Family Medicine	036-153194 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Decatur Memorial Hospital	Decatur, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Board Of Trustees Of Southern Illinois University	4486667888	96

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. Nicole Gabriel Tenegra allows following entities to bill medicare on her behalf.

Entity Name	Board Of Trustees Of Southern Illinois University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396097960 PECOS PAC ID: 4486667888 Enrollment ID: O20130424001019

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. Nicole Gabriel Tenegra 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
Nicole Gabriel Tenegra, MD Po Box 19644, Springfield, IL 62794-9644 Ph: (217) 545-8000	Nicole Gabriel Tenegra, MD 102 W Kenwood Ave, Decatur, IL 62526-4368 Ph: (217) 872-3800

Reviews and Comments

Family Medicine Doctors in Decatur, IL

Dr. Saranya Tharmakulasingam, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Mohammed J Ahmed, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Amna Karim, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Brooke Nicole Ballard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 Fax: 217-864-2449
Dr. Vijay Krishan Sharma, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Dr. Mohammud Baleegh, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 W Kenwood Ave Ste 100, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849
Amisha Kamath, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849

Nicole Gabriel Tenegra, MD - Medicare Family Practice in Decatur, IL