Malisa Tillman, is a
Case Manager/care Coordinator based in Lafayette, Louisiana. Malisa Tillman is licensed to practice in * (Not Available) (license number ) and her current practice location is
1144 Coolidge Blvd Ste C, Lafayette, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 266-7170.
NPI number for Malisa Tillman is 1316312127 and her current mailing address is 1144 Coolidge Blvd Ste C, Lafayette, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316312127.
Healthcare Provider's Profile
Full Name | Malisa Tillman |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 1144 Coolidge Blvd Ste C, Lafayette, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316312127
- Provider Enumeration Date: 12/04/2015
- Last Update Date: 05/08/2019
Medical Identifiers
Medical identifiers for Malisa Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316312127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Malisa Tillman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Malisa Tillman, 1144 Coolidge Blvd Ste C, Lafayette, LA 70503-2622 Ph: (337) 266-7170 | Malisa Tillman, 1144 Coolidge Blvd Ste C, Lafayette, LA 70503-2622 Ph: (337) 266-7170 |
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