Ms Tammy Dubose, PMHNP - Medicare Nurse Practitioner in Waukegan, IL

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Ms Tammy Dubose, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Waukegan, Illinois. Her current practice location is 3004 Grand Ave, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at (401) 602-3938.

Ms Tammy Dubose is licensed to practice in Illinois (license number 209028247) 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 1437494630.

Contact Information

Ms Tammy Dubose, PMHNP
3004 Grand Ave,
Waukegan, IL 60085-2321
(401) 602-3938
Not Available

Map and Direction




Provider's Profile

Full NameMs Tammy Dubose
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location3004 Grand Ave, Waukegan, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437494630
  • Provider Enumeration Date: 11/29/2012
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729455621
  • Enrollment ID: I20221107001058

Medical Identifiers

Medical identifiers for Ms Tammy Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437494630NPI-NPPES
1437494630MedicaidRI
1437494630MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209028247 (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. Ms Tammy Dubose allows following entities to bill medicare on her behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20170518000594

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. Ms Tammy Dubose 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
Ms Tammy Dubose, PMHNP
3010 Grand Ave,
Waukegan, IL 60085-2321

Ph: (847) 377-8000		Ms Tammy Dubose, PMHNP
3004 Grand Ave,
Waukegan, IL 60085-2321

Ph: (401) 602-3938

Reviews and Comments


Nurse Practitioner Nurses in Waukegan, IL

Wendy Jahayra Miralda, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3010 Grand Ave, Waukegan, IL 60085
Phone: 847-377-8296    
Mercedes Rebeca Jasso, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085
Phone: 847-377-8800    
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3010 Grand Ave, Waukegan, IL 60085
Phone: 847-377-8808    
Rochelle A Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3210 Grand Ave, Waukegan, IL 60085
Phone: 847-440-7339    
Samantha Williams,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085
Phone: 847-360-3000    
Mrs. Antoinette Green, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085
Phone: 847-360-4303    Fax: 847-596-4506
Dominika Kowalski, PNP, MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085
Phone: 847-377-8400    

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.

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