TYSON EVERETT CSAC
NPI 1255717385
Case Management in Chicago, IL
- Individual
- Male
- Years of Experience 28
- Case Management
- May Accept Medicare Approved Payment
- PECOS Enrolled
About TYSON EVERETT
This page provides the complete NPI Profile along with additional information for Tyson Everett, a provider established in Chicago, Illinois with a medical specialization in Case Management and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1255717385 assigned on July 2015. The practitioner's primary taxonomy code is 251B00000X with license number A-3249-0001 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1255717385 Verify this NPI
- Provider Name
- TYSON EVERETT CSAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5500 S INDIANA AVE BSMT CHICAGO, IL 60637
- Location Phone
- (773) 488-9460
- Mailing Address
- 5500 S INDIANA AVE BSMT CHICAGO, IL 60637
- Mailing Phone
- (773) 488-9460
- Mailing Fax
- (773) 488-9462
- Medical School Name
- OTHER
- Graduation Year
- 1999
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-30-2015
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Case Management
- Taxonomy Code
- 251B00000X
- Type
- Agencies
- License No.
- A-3249-0001
- License State
- IL
- Taxonomy Description
- An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Medicare Participation & PECOS Enrollment Status
Tyson Everett is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Tyson Everett is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4981108511
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250917003078
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CHICAGO, IL 60637
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255717385, enumerated as an "individual" on July 30, 2015.
The provider is located at 5500 S INDIANA AVE BSMT CHICAGO, IL 60637 and the phone number is (773) 488-9460.
Case Management with taxonomy code 251B00000X.
