Mrs Loretta I Tillman, MA in Charlotte, NC - Medicare Counselor Provider

Mrs Loretta I Tillman, MA is a medicare enrolled "Counselor - Mental Health" provider in Charlotte, North Carolina. Her current practice location is 5736 N Tryon St Ste 200, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 921-6777.

Mrs Loretta I Tillman is licensed to practice in North Carolina (license number 3411) 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 1356495402.

Contact Information

	Mrs Loretta I Tillman, MA
	5736 N Tryon St Ste 200, Charlotte, NC 28213-0820
	(704) 921-6777
	(704) 509-2220

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Loretta I Tillman
Gender	Female
Speciality	Counselor - Mental Health
Location	5736 N Tryon St Ste 200, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356495402
Provider Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6709237738
Enrollment ID: I20240104000046

Medical Identifiers

Medical identifiers for Mrs Loretta I Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356495402	NPI	-	NPPES
6102097	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3411 (North Carolina)	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. Mrs Loretta I 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
Mrs Loretta I Tillman, MA 5736 N Tryon St Ste 200, Charlotte, NC 28213-0820 Ph: (704) 921-6777	Mrs Loretta I Tillman, MA 5736 N Tryon St Ste 200, Charlotte, NC 28213-0820 Ph: (704) 921-6777

Reviews and Comments

Counselor in Charlotte, NC

Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100
Allegra Shonta Cooper, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 6324 Fairview Rd Ste 460, Charlotte, NC 28210 Phone: 980-302-8611 Fax: 980-302-8624
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921

Mrs Loretta I Tillman, MA - Medicare Counselor in Charlotte, NC