Dr John David Tillou, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Fairfax, Virginia. He went to University Of Virginia School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Fairfax Colon And Rectal Surgery Pc, Inova Health Care Services, Fairfax Colon And Rectal Surgery Pc and his current practice location is
2710 Prosperity Ave, Ste 200, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 280-2841.
Dr John David Tillou is licensed to practice in Virginia (license number 0101264822) 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 1518232685.
Physician's Profile
Full Name | Dr John David Tillou |
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Gender | Male |
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Speciality | Colorectal Surgery (proctology) |
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Experience | 12 Years |
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Location | 2710 Prosperity Ave, Fairfax, Virginia |
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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 John David Tillou attended and graduated from University Of Virginia School Of Medicine in 2012
NPI Data:
- NPI Number: 1518232685
- Provider Enumeration Date: 03/21/2012
- Last Update Date: 03/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466700265
- Enrollment ID: I20180810001973
Medical Identifiers
Medical identifiers for Dr John David Tillou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518232685 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 252747 (Massachusetts) | Secondary |
208C00000X | Colon & Rectal Surgery | 0101264822 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fairfax Colon And Rectal Surgery Pc | 4385628411 | 17 |
Inova Health Care Services | 2466351093 | 1778 |
Fairfax Colon And Rectal Surgery Pc | 4385628411 | 17 |
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 John David Tillou allows following entities to bill medicare on his behalf.
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
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Entity Name | Fairfax Colon & Rectal Surgery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427169507 PECOS PAC ID: 4385628411 Enrollment ID: O20040616000764 |
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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 John David Tillou 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 John David Tillou, MD 2710 Prosperity Ave, Ste 200, Fairfax, VA 22031-4358 Ph: () - | Dr John David Tillou, MD 2710 Prosperity Ave, Ste 200, Fairfax, VA 22031 Ph: (703) 280-2841 |
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