Elbert Stinson Tillerson, MD | |
1125 Madison St., Jefferson City, MO 65102-1128 | |
(573) 635-7651 | |
(573) 659-4515 |
Full Name | Elbert Stinson Tillerson |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 23 Years |
Location | 1125 Madison St., Jefferson City, 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 |
---|---|---|---|
1003872714 | NPI | - | NPPES |
054133 | Other | GA | LICENSE |
23919 | Other | SC | 1 |
1003872714 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 2011041481 (Missouri) | Secondary |
208M00000X | Hospitalist | 2011041481 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Entity Name | Capital Region Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
Entity Name | Landmark Hospital Of Columbia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972732378 PECOS PAC ID: 2062568025 Enrollment ID: O20100422000128 |
Entity Name | Hospital Medicine Services Of Tennessee Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160531002246 |
Mailing Address | Practice Location Address |
---|---|
Elbert Stinson Tillerson, MD 1125 Madison St., Jefferson City, MO 65102-1128 Ph: (573) 635-7651 | Elbert Stinson Tillerson, MD 1125 Madison St., Jefferson City, MO 65102-1128 Ph: (573) 635-7651 |
Brian Haslag, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1125 Madison St, Jefferson City, MO 65101 Phone: 573-632-5000 Fax: 573-634-2033 |