Tony Tennis, FNP-C - Medicare Nurse Practitioner in Chicago, IL

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Tony Tennis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chicago, Illinois. His current practice location is 933 W Diversey Pkwy, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 445-8805.

Tony Tennis is licensed to practice in Illinois (license number 209028290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528756335.

Contact Information

Tony Tennis, FNP-C
933 W Diversey Pkwy,
Chicago, IL 60614-1439
(312) 445-8805
Not Available

Map and Direction




Provider's Profile

Full NameTony Tennis
GenderMale
SpecialityNurse Practitioner - Family
Location933 W Diversey Pkwy, Chicago, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528756335
  • Provider Enumeration Date: 04/28/2023
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305294901
  • Enrollment ID: I20231120003289

Medical Identifiers

Medical identifiers for Tony Tennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528756335NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209028290 (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. Tony Tennis allows following entities to bill medicare on his behalf.
Entity NamePhysicians Immediate Care Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528046323
PECOS PAC ID: 4486568813
Enrollment ID: O20031118001089
Entity NamePhysicians Immediate Care North Chicago Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205814118
PECOS PAC ID: 8729064159
Enrollment ID: O20040626000381
Entity NameWellnow Urgent Care, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669825162
PECOS PAC ID: 8325320864
Enrollment ID: O20190320001131

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. Tony Tennis 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
Tony Tennis, FNP-C
4334 N Hazel St Apt 1011,
Chicago, IL 60613-1465

Ph: (724) 350-7530		Tony Tennis, FNP-C
933 W Diversey Pkwy,
Chicago, IL 60614-1439

Ph: (312) 445-8805

Reviews and Comments


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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.