Dr Clifford Randolph Tillman, in Vidalia, LA

Dr Clifford Randolph Tillman, is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Vidalia, Louisiana. He went to Vanderbilt University School Of Medicine and graduated in 1976 and has 48 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Lasalle Parish Hospital Service District 1 and his current practice location is 107 Front St, Suite 2126, Vidalia, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 336-2216.

Dr Clifford Randolph Tillman is licensed to practice in Louisiana (license number 06980R) 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 1053309732.

Contact Information

	Dr Clifford Randolph Tillman,
	107 Front St, Suite 2126, Vidalia, LA 71373-2836
	(318) 336-2216
	(318) 336-6074

Map and Direction

Physician's Profile

Full Name	Dr Clifford Randolph Tillman
Gender	Male
Speciality	Internal Medicine
Experience	48 Years
Location	107 Front St, Vidalia, Louisiana
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:

Dr Clifford Randolph Tillman attended and graduated from Vanderbilt University School Of Medicine in 1976

NPI Data:

NPI Number: 1053309732
Provider Enumeration Date: 10/07/2005
Last Update Date: 07/25/2008

Medicare PECOS Information:

PECOS PAC ID: 9830084060
Enrollment ID: I20040217000951

Medical Identifiers

Medical identifiers for Dr Clifford Randolph Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053309732	NPI	-	NPPES
0115585	Medicaid	MS
1316521	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	06980R (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sta Home Health And Hospice	Clinton, MS	Home health agency
Intensive Home Health Care, Inc	Vidalia, LA	Home health agency
Louisiana Homecare Of Miss-lou	Ferriday, LA	Home health agency
Baptist Memorial Hospital North Ms	Oxford, MS	Hospital
Hardtner Medical Center	Olla, LA	Hospital
Riverland Medical Center	Ferriday, LA	Hospital
Baptist Memorial Hospital Desoto	Southaven, MS	Hospital
Merit Health Natchez	Natchez, MS	Hospital

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. Dr Clifford Randolph Tillman allows following entities to bill medicare on his behalf.

Entity Name	Lasalle Parish Hospital Service District #1
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184815466 PECOS PAC ID: 6709781545 Enrollment ID: O20040408000438

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. Dr Clifford Randolph 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
Dr Clifford Randolph Tillman, 107 Front St, Suite 2126, Vidalia, LA 71373-2836 Ph: (318) 336-2216	Dr Clifford Randolph Tillman, 107 Front St, Suite 2126, Vidalia, LA 71373-2836 Ph: (318) 336-2216

Reviews and Comments

Internal Medicine Doctors in Vidalia, LA

Dr. Iley Floyd Dillon, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 107 Front St, Suite 2109, Vidalia, LA 71373 Phone: 318-336-2215 Fax: 318-336-6074
Dr. Barry Forrest Tillman, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 107 Front St, Vidalia, LA 71373 Phone: 318-336-2216 Fax: 318-336-6075
Ibrahim Seki, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1812 Carter St, Vidalia, LA 71373 Phone: 318-336-7072 Fax: 318-336-7073

Dr Clifford Randolph Tillman, - Medicare Internal Medicine in Vidalia, LA