Dr Elizabeth Tillem, MD is a medicare enrolled "Emergency Medicine" physician in Bronx, New Jersey. Her current practice location is
1650 Grand Concourse, Dept Of Emergency Medicine, Bronx, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(718) 518-5046.
Dr Elizabeth Tillem is licensed to practice in New York (license number 225727) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093860504.
Physician's Profile
Full Name | Dr Elizabeth Tillem |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 1650 Grand Concourse, Bronx, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093860504
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1759309669
- Enrollment ID: I20051109000792
Medical Identifiers
Medical identifiers for Dr Elizabeth Tillem such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093860504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 225727 (New York) | 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. Dr Elizabeth Tillem allows following entities to bill medicare on her behalf.
Entity Name | Bronxcare Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
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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 Elizabeth Tillem 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 Elizabeth Tillem, MD 1650 Grand Concourse, Dept Of Emergency Medicine, Bronx, NJ 10456 Ph: (718) 518-5046 | Dr Elizabeth Tillem, MD 1650 Grand Concourse, Dept Of Emergency Medicine, Bronx, NJ 10456 Ph: (718) 518-5046 |
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