Hailey Tillman, DC is a medicare enrolled "Chiropractor" provider in Alma, Georgia. Her current practice location is
702 S Church St, Alma, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 388-6724.
Hailey Tillman is licensed to practice in Georgia (license number CHIR010326) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982234233.
Healthcare Provider's Profile
| Full Name | Hailey Tillman |
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| Gender | Female |
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| Speciality | Chiropractor |
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| Location | 702 S Church St, Alma, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982234233
- Provider Enumeration Date: 01/24/2020
- Last Update Date: 03/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951724467
- Enrollment ID: I20200630002941
Medical Identifiers
Medical identifiers for Hailey Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982234233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CHIR010326 (Georgia) | 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. Hailey Tillman allows following entities to bill medicare on her behalf.
| Provider Name | Roots Chiropractic And Wellness |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1639703846
PECOS PAC ID: 3072931138
Enrollment ID: O20200922002018 |
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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. Hailey Tillman 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 Address | Practice Location Address |
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Hailey Tillman, DC
119 Millbrook Ln,
Alma, GA 31510-1576
Ph: () - | Hailey Tillman, DC
702 S Church St,
Alma, GA 31510-3124
Ph: (912) 388-6724 |
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