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

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



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

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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

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Difficulty breathing is becoming easier for patients at Orlando Health Orlando Regional Medical Center. Orlando HealthORMC is the first hospital in Central Florida to offer a new lung valve treatment for patients with severe emphysema, a progressive and life-threatening form of chronic obstructive pulmonary disease.

Temple researchers receive NIAID grant to study immunological synapse formation

Switching immune cells on is a critical step in combating infection. In the case of T cells, which are key players in immunity, this happens when dormant T cells circulating in the blood encounter a suspicious agent on the surface of specialized antigen-presenting cells.

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Nurse Practitioner Nurses in Rockford, IL

Misty Lynn Dehaven, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107
Phone: 815-395-1500    Fax: 815-395-1415
Candice Vicencio, DNP, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4215 Newburg Rd, Rockford, IL 61108
Phone: 815-988-8500    Fax: 815-977-5956
Caryn Ann Ruzic, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1200 W State St, Rockford, IL 61102
Phone: 815-490-1600    Fax: 815-490-1881
Angela Giardono, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5666 E State St, Rockford, IL 61108
Phone: 815-226-2000    
Melissa L. Inman, APN
Nurse Practitioner
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
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3505 N Bell School Rd, Rockford, IL 61114
Phone: 779-696-0300    Fax: 815-639-9433

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