Tyler Jacob Mcdonald, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mattoon, IL

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Tyler Jacob Mcdonald, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattoon, Illinois. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Endeavor Health Medical Group, Sarah Bush Lincoln Health Center and his current practice location is 1000 Health Center Dr, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 258-2440.

Tyler Jacob Mcdonald is licensed to practice in Illinois (license number 209023442) 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 1619562584.

Contact Information

Tyler Jacob Mcdonald, CRNA
1000 Health Center Dr,
Mattoon, IL 61938-4644
(217) 258-2440
(217) 258-2186

Map and Direction




Provider's Profile

Full NameTyler Jacob Mcdonald
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location1000 Health Center Dr, Mattoon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tyler Jacob Mcdonald graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1619562584
  • Provider Enumeration Date: 03/03/2021
  • Last Update Date: 04/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1951703602
  • Enrollment ID: I20210716002702

Medical Identifiers

Medical identifiers for Tyler Jacob Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619562584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041460929 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 2021040417 (Missouri)Secondary
367500000XNurse Anesthetist, Certified Registered 209023442 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Northwest Community Hospital 1Arlington heights, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346992710
Sarah Bush Lincoln Health Center5092614867327

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. Tyler Jacob Mcdonald allows following entities to bill medicare on his behalf.
Entity NameSarah Bush Lincoln Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669564662
PECOS PAC ID: 5092614867
Enrollment ID: O20031231000478
Entity NameSpecialists In Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689619280
PECOS PAC ID: 2567369473
Enrollment ID: O20040108000318
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 NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NameAnesthesia Pain Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790075489
PECOS PAC ID: 6507930526
Enrollment ID: O20080808000180
Entity NameMidwest Anesthesia Providers Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295189082
PECOS PAC ID: 9830480581
Enrollment ID: O20160628000182
Entity NameResource Anesthesiology Associates Of Il Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750347829
PECOS PAC ID: 5698006641
Enrollment ID: O20191007000960

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. Tyler Jacob Mcdonald 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
Tyler Jacob Mcdonald, CRNA
Po Box 372,
Mattoon, IL 61938-0372

Ph: () -		Tyler Jacob Mcdonald, CRNA
1000 Health Center Dr,
Mattoon, IL 61938-4644

Ph: (217) 258-2440

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mattoon, IL

Vincent P Cagungun, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-4006    
Erin M. Hein, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Tara L Crews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    
Allyson Anderson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr Ste 201, Mattoon, IL 61938
Phone: 217-258-2525    
Nicholas Halford, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Ms. Mallory Michelle Light, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    Fax: 217-258-2186
Marshall Ashby, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Health Center Dr, Mattoon, IL 61938
Phone: 217-258-2440    

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.