Donald Kenneth Tillman Jr, DO is a medicare enrolled "Dermatology" physician in Hays, Kansas. He went to Nova Southeastern College Of Osteo Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Great Plains Dermatology, P.a. and his current practice location is
2708 Sternberg Dr, Hays, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 625-7546.
Donald Kenneth Tillman Jr is licensed to practice in Kansas (license number 0523958) 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 1821198037.
Physician's Profile
| Full Name | Donald Kenneth Tillman Jr |
|---|
| Gender | Male |
|---|
| Speciality | Dermatology |
|---|
| Experience | 38 Years |
|---|
| Location | 2708 Sternberg Dr, Hays, Kansas |
|---|
| 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:
- Donald Kenneth Tillman Jr attended and graduated from Nova Southeastern College Of Osteo Medicine in 1986
NPI Data:
- NPI Number: 1821198037
- Provider Enumeration Date: 09/25/2006
- Last Update Date: 02/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 0648211649
- Enrollment ID: I20050519000977
Medical Identifiers
Medical identifiers for Donald Kenneth Tillman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821198037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 0523958 (Kansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Great Plains Dermatology, P.a. | 6709776594 | 4 |
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. Donald Kenneth Tillman Jr allows following entities to bill medicare on his behalf.
| Entity Name | Great Plains Dermatology, P.a. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1740380963
PECOS PAC ID: 6709776594
Enrollment ID: O20040316001304 |
|---|
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. Donald Kenneth Tillman Jr 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 |
|---|
Donald Kenneth Tillman Jr, DO
2708 Sternberg Dr,
Hays, KS 67601
Ph: (785) 625-7546 | Donald Kenneth Tillman Jr, DO
2708 Sternberg Dr,
Hays, KS 67601
Ph: (785) 625-7546 |
Reviews and Comments