Mr Tobin Jacob Tito, AGPCNP-BC in Kenosha, WI

Mr Tobin Jacob Tito, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in Kenosha, Wisconsin. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Endeavor Health Medical Group and his current practice location is 6308 8th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (847) 431-3838.

Mr Tobin Jacob Tito is licensed to practice in Illinois (license number 209.021978) 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 1124616602.

Contact Information

	Mr Tobin Jacob Tito, AGPCNP-BC
	6308 8th Ave, Kenosha, WI 53143-5031
	(847) 431-3838
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tobin Jacob Tito
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	6308 8th Ave, Kenosha, Wisconsin
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:

Mr Tobin Jacob Tito graduated from nursing school in 2020

NPI Data:

NPI Number: 1124616602
Provider Enumeration Date: 01/09/2021
Last Update Date: 01/09/2021

Medicare PECOS Information:

PECOS PAC ID: 9335547066
Enrollment ID: I20211012000197

Medical Identifiers

Medical identifiers for Mr Tobin Jacob Tito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124616602	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	209.021978 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Endeavor Health Medical Group	2163334699	2710

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. Mr Tobin Jacob Tito allows following entities to bill medicare on his behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Northshore University Healthsystem Faculty Practice Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118

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. Mr Tobin Jacob Tito 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
Mr Tobin Jacob Tito, AGPCNP-BC 1004 Crystal Ct, Glenview, IL 60025-2682 Ph: (847) 431-3838	Mr Tobin Jacob Tito, AGPCNP-BC 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (847) 431-3838

Reviews and Comments

Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Mr Tobin Jacob Tito, AGPCNP-BC - Medicare Nurse Practitioner in Kenosha, WI