Tina M Rozene, MD - Medicare Pediatric Medicine in Effingham, IL

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Tina M Rozene, MD is a medicare enrolled "Pediatrics" physician in Effingham, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Springfield Clinic Llp and her current practice location is 300 N Maple St, Effingham, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 342-4151.

Tina M Rozene is licensed to practice in Illinois (license number 036094764) 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 1467489807.

Contact Information

Tina M Rozene, MD
300 N Maple St,
Effingham, IL 62401-2003
(217) 342-4151
(217) 347-0108

Map and Direction




Physician's Profile

Full NameTina M Rozene
GenderFemale
SpecialityPediatric Medicine
Experience26 Years
Location300 N Maple St, Effingham, 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:
  • Tina M Rozene attended and graduated from Southern Illinois University School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1467489807
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 05/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9739140294
  • Enrollment ID: I20050211000237

Medical Identifiers

Medical identifiers for Tina M Rozene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467489807NPI-NPPES
036094764MedicaidIL
054508OtherILHEALTH ALLIANCE #
2523659OtherILBC/BS #
386900OtherILHEALTHLINK #
370012295OtherILRAILROAD MEDICARE/PALMETTO GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036094764 (Illinois)Secondary
208000000XPediatrics 036094764 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hshs Home Care Southern IllinoisEffingham, ILHome health agency
Hshs Hospice Southern IllinoisEffingham, ILHospice
St Anthonys Memorial HospitalEffingham, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Clay County HospitalFlora, ILHospital
Lakeland Rehab & Healthcare CenterEffingham, ILNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Springfield Clinic Llp0547166076673

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. Tina M Rozene allows following entities to bill medicare on her behalf.
Entity NameSt Anthony's Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306800602
PECOS PAC ID: 2365341211
Enrollment ID: O20040108000741
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826

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. Tina M Rozene 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
Tina M Rozene, MD
1025 S 6th St,
Springfield, IL 62703-2403

Ph: (217) 528-7541		Tina M Rozene, MD
300 N Maple St,
Effingham, IL 62401-2003

Ph: (217) 342-4151

Reviews and Comments


Pediatrics Doctors in Effingham, IL

Mary Colleen Bingham, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1106 N Merchant St, Effingham, IL 62401
Phone: 217-342-7000    Fax: 217-342-7002
Dr. Amanda Lea Bierman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1106 N Merchant St, Effingham, IL 62401
Phone: 217-342-7000    Fax: 217-342-7002
Thomas Heischmidt, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1106 N Merchant St, Effingham, IL 62401
Phone: 217-342-7000    
David J Kowalski, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 300 N Maple St, Effingham, IL 62401
Phone: 217-342-4151    Fax: 217-342-9336

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.