Tiffany J Porter, FNP - Medicare Nurse Practitioner in Blue Island, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Blue Island
Tiffany J Porter, FNP is a medicare enrolled "Nurse Practitioner - Family" in Blue Island, Illinois. Her current practice location is 12200 Western Ave, Blue Island, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 581-5372.

Tiffany J Porter is licensed to practice in Illinois (license number 209015112) 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 1679019301.

Contact Information

Tiffany J Porter, FNP
12200 Western Ave,
Blue Island, IL 60406-1398
(630) 581-5372
Not Available

Map and Direction




Provider's Profile

Full NameTiffany J Porter
GenderFemale
SpecialityNurse Practitioner - Family
Location12200 Western Ave, Blue Island, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679019301
  • Provider Enumeration Date: 01/19/2017
  • Last Update Date: 06/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325321953
  • Enrollment ID: I20170206002322

Medical Identifiers

Medical identifiers for Tiffany J Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679019301NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SF0001XClinical Nurse Specialist - Family Health 209015112 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209015112 (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. Tiffany J Porter allows following entities to bill medicare on her behalf.
Entity NameMidwest Express Care 2 Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375

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. Tiffany J Porter 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
Tiffany J Porter, FNP
1301 Fox Meadow Ct,
St Charles, IL 60174-1670

Ph: (630) 915-8693		Tiffany J Porter, FNP
12200 Western Ave,
Blue Island, IL 60406-1398

Ph: (630) 581-5372

Reviews and Comments


Nurse Practitioner Nurses in Blue Island, IL

Julie Elizabeth Di Novo, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2334 Olive St, Blue Island, IL 60406
Phone: 773-577-7565    
Mrs. Jean M Ramos, APN, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2310 York St Ste 4a, Blue Island, IL 60406
Phone: 708-489-7940    Fax: 708-489-7946
Stefanie A Drozd, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2320 High St, Blue Island, IL 60406
Phone: 708-388-5500    Fax: 708-226-7174
Jennifer R. Komada, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12200 Western Ave, Blue Island, IL 60406
Phone: 708-631-2781    
Angela Merari Martinez,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3046 127th St, Blue Island, IL 60406
Phone: 708-377-7920    Fax: 708-930-0414
Maricsa Sanchez,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12200 Western Ave Ste 100, Blue Island, IL 60406
Phone: 708-631-2781    
Ms. Brenda Lee Langford, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12757 Western Ave, Blue Island, IL 60406
Phone: 708-293-8437    

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.