Bennie N Till, MD in Poplar Bluff, MO - Medicare Family Medicine

Bennie N Till, MD is a medicare enrolled "Family Medicine" physician in Poplar Bluff, Missouri. His current practice location is 686 Lester St, Poplar Bluff, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 686-2411.

Bennie N Till is licensed to practice in Missouri (license number 29706) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235118928.

Contact Information

	Bennie N Till, MD
	686 Lester St, Poplar Bluff, MO 63901-5025
	(573) 686-2411
	(573) 686-8452

Map and Direction

Physician's Profile

Full Name	Bennie N Till
Gender	Male
Speciality	Family Medicine
Location	686 Lester St, Poplar Bluff, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235118928
Provider Enumeration Date: 01/11/2006
Last Update Date: 09/01/2011

Medicare PECOS Information:

PECOS PAC ID: 5890605661
Enrollment ID: I20100603000627

Medical Identifiers

Medical identifiers for Bennie N Till such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235118928	NPI	-	NPPES
080037689	Other		TRAVELERS MEDICARE
200421709	Medicaid	MO
108014001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	29706 (Missouri)	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. Bennie N Till allows following entities to bill medicare on his behalf.

Entity Name	Kneibert Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104804699 PECOS PAC ID: 0446160212 Enrollment ID: O20040407000054

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. Bennie N Till 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
Bennie N Till, MD Po Box 220, Poplar Bluff, MO 63902-0220 Ph: (573) 686-2411	Bennie N Till, MD 686 Lester St, Poplar Bluff, MO 63901-5025 Ph: (573) 686-2411

Reviews and Comments

Family Medicine Doctors in Poplar Bluff, MO

Robert Francis Dorsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2600 Fax: 573-776-2763
Dr. Donna J Allmon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 686 Lester St, Poplar Bluff, MO 63902 Phone: 573-686-2411 Fax: 573-686-8452
Silvia Pagoada Vallecillo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-776-2000
Ibrahim Awawdeh, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2340 Katy Ln, Poplar Bluff, MO 63901 Phone: 573-290-3293 Fax: 669-280-5057
Maxine A Theriot, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3098 Oak Grove Rd, Poplar Bluff, MO 63901 Phone: 573-686-8199 Fax: 573-686-8398
William R Pierce, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 N Westwood Blvd, Poplar Bluff, MO 63901 Phone: 573-778-4729 Fax: 573-778-4731

Bennie N Till, MD - Medicare Family Medicine in Poplar Bluff, MO