Brent Justin Tilseth, MD in Jacksonville, FL - Medicare Diagnostic Radiology

Brent Justin Tilseth, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jacksonville, Florida. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ohri Llc, Orlando Health Medical Group Inc and his current practice location is 2080 Child St, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 542-7300.

Brent Justin Tilseth is licensed to practice in Florida (license number ME142293) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770905085.

Contact Information

	Brent Justin Tilseth, MD
	2080 Child St, Jacksonville, FL 32214-5005
	(904) 542-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Brent Justin Tilseth
Gender	Male
Speciality	Diagnostic Radiology
Experience	10 Years
Location	2080 Child St, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brent Justin Tilseth graduated from medical school in 2014

NPI Data:

NPI Number: 1770905085
Provider Enumeration Date: 01/07/2014
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 6305272972
Enrollment ID: I20200130002690

Medical Identifiers

Medical identifiers for Brent Justin Tilseth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770905085	NPI	-	NPPES
O9423	Other	FL	MEDICARE PTAN OHRI
XAEAA	Other	FL	BCBS
PS650	Other	FL	MEDICARE PTAN OHMG
112609100	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	ME142293 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Orlando Health	Orlando, FL	Hospital
Orlando Health South Lake Hospital	Clermont, FL	Hospital
Bayfront Health - St Petersburg	Saint petersburg, FL	Hospital
Health Central	Ocoee, FL	Hospital
St Cloud Regional Medical Center	Saint cloud, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ohri Llc	4981912169	90
Orlando Health Medical Group Inc	9537059084	1478

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. Brent Justin Tilseth allows following entities to bill medicare on his behalf.

Entity Name	Orlando Health Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044

Entity Name	Ohri Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809

Entity Name	Enloe Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477975613 PECOS PAC ID: 9739092388 Enrollment ID: O20200612001471

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. Brent Justin Tilseth 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
Brent Justin Tilseth, MD 5000 Us Highway 17 Ste 18-200, Fleming Island, FL 32003-8231 Ph: () -	Brent Justin Tilseth, MD 2080 Child St, Jacksonville, FL 32214-5005 Ph: (904) 542-7300

Reviews and Comments

Radiology Doctors in Jacksonville, FL

Dr. Brian Bishop Moon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 Phone: 904-399-5550 Fax: 904-346-4334
Dr. Rishi Norman Razdan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2416 Dunn Ave, Jacksonville, FL 32218 Phone: 904-353-3664 Fax: 904-353-3858
Dr. Travis Howell Edelstein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, 2nd Floor Clinical Center University Of Florida Jackson, Jacksonville, FL 32209 Phone: 954-775-4645
Leo Czervionke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Nina L Kazerooni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7908 Monterey Bay Dr, Jacksonville, FL 32256 Phone: 904-507-9318
Dr. Clyde Whitley Vick Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 1833 Boulevard, Jacksonville, FL 32206 Phone: 904-232-2751 Fax: 904-232-2482
Beau Toskich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Brent Justin Tilseth, MD - Medicare Diagnostic Radiology in Jacksonville, FL