Dr Charles H Tillman Jr, MD | |
720 Medical Park Dr, Mexico, MO 65265-3726 | |
(573) 581-3240 | |
(573) 581-7493 |
Full Name | Dr Charles H Tillman Jr |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 42 Years |
Location | 720 Medical Park Dr, Mexico, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891781225 | NPI | - | NPPES |
202409801 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 36412 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boone Hospital Center | Columbia, MO | Hospital |
Pike County Memorial Hospital | Louisiana, MO | Hospital |
University Of Missouri Health Care | Columbia, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chas Physician Services Llc | 7810038064 | 23 |
Entity Name | Ssm Audrain Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841334836 PECOS PAC ID: 3678481827 Enrollment ID: O20040129000368 |
Entity Name | Chas Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629301163 PECOS PAC ID: 7810038064 Enrollment ID: O20100109000194 |
Entity Name | Fulton Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1417367665 PECOS PAC ID: 7810211398 Enrollment ID: O20150123001617 |
Entity Name | Noble Health Audrain Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447841168 PECOS PAC ID: 0446667299 Enrollment ID: O20210430001237 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles H Tillman Jr, MD 201 E Monroe St, Mexico, MO 65265-2852 Ph: (573) 581-3240 | Dr Charles H Tillman Jr, MD 720 Medical Park Dr, Mexico, MO 65265-3726 Ph: (573) 581-3240 |
Michael Lee Quinlan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Shahid Waheed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Dr. Peggy Wanner-barjenbruch, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Dr. Glenn L Gordon, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 714 Medical Park Dr, Mexico, MO 65265 Phone: 573-590-1553 Fax: 877-958-7717 | |
Norvin Eugene Thomas, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Matthew Patrick Griffin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Mary Ellen Mullen, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 |