Dr. Ty E Hasselman

MD | Pediatric Cardiology | Male

---

Complete Profile:

Dr. Ty E Hasselman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	Dr. Ty E Hasselman
Credential :	MD
Gender :	Male

Business Address:

Dr. Ty E Hasselman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	420 Ne Glen Oak Ave, Suite 301 Peoria, IL, 61603-3105 United States
Phone Number :	309-655-3453
Fax Number :	309-655-3410

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1861438434
NPI Entity Type :	Individual
First Enrolment Date :	21 Jun, 2006
Last Updated On :	21 Sep, 2022

Medicare Participation:

Dr. Ty E Hasselman participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3274537071
Medicare Enrollment ID :	I20060911000214
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	University Of Illinois College Of Med (chi/peor/rock/chm-urb)
Graduation Year :	1999
Accepts Medicare?	Yes. Dr. Ty E Hasselman accepts medicare insurance.

Group Practice Association:

Dr. Ty E Hasselman is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Ty E Hasselman is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Board Of Trustees Of The University Of Illinois	3072422716	891	1 Illini Dr Peoria, IL - 616052576 Ph: 3096718484	Yes
Osf Multi-specialty Group	3678889789	1468	420 Neglen Oak Ave Suite 301 Peoria, IL - 61603 Ph: 3096553453	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ty E Hasselman are as mentioned. Primary taxonomy code for Dr. Ty E Hasselman, MD is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	036-106293	IL

Legacy Identifiers:

Other legacy medical identifiers of Dr. Ty E Hasselman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
036106293	MEDICAID	IL
208905098	MEDICARE PIN	IL
H70693	MEDICARE UPIN
IL3270111	MEDICARE PIN	IL

Other Practice Locations:

Practice Address	City, State	Phone Number
1000 HEALTH CENTER DR, MATTOON, IL, 61938-4644 United States	MATTOON, IL	217-238-4960

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	420 Ne Glen Oak Ave, Suite 301 Peoria, IL, 61603-3105 United States
Phone Number :	309-655-3453
Fax Number :	309-655-3410

Business Location:

Patients can refer following map for directions to Dr. Ty E Hasselman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.