Tyler James Rafferty, FNP-BC - Medicare Nurse Practitioner in Rockford, IL

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Tyler James Rafferty, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Rockford, Illinois. His current practice location is 5666 E State St, Rockford, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 226-2000.

Tyler James Rafferty is licensed to practice in Illinois (license number 209027848) 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 1003596263.

Contact Information

Tyler James Rafferty, FNP-BC
5666 E State St,
Rockford, IL 61108-2425
(815) 226-2000
Not Available

Map and Direction




Provider's Profile

Full NameTyler James Rafferty
GenderMale
SpecialityNurse Practitioner - Family
Location5666 E State St, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003596263
  • Provider Enumeration Date: 07/24/2023
  • Last Update Date: 09/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729432372
  • Enrollment ID: I20230929002623

Medical Identifiers

Medical identifiers for Tyler James Rafferty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003596263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209027848 (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. Tyler James Rafferty allows following entities to bill medicare on his behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 James Rafferty 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 James Rafferty, FNP-BC
3739 W Cedarville Rd,
Freeport, IL 61032-8533

Ph: (815) 721-3796		Tyler James Rafferty, FNP-BC
5666 E State St,
Rockford, IL 61108-2425

Ph: (815) 226-2000

Reviews and Comments


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Phone: 815-395-1500    Fax: 815-395-1415
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Caryn Ann Ruzic, APRN
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Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Angela Giardono, FNP
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Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Melissa L. Inman, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 461 N Mulford Rd Ste 3, Rockford, IL 61107
Phone: 815-227-9594    Fax: 815-227-9574
Michelle L Bennett, APRN
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Medicare: May Accept Medicare Assignments
Practice Location: 3505 N Bell School Rd, Rockford, IL 61114
Phone: 779-696-0300    Fax: 815-639-9433

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.