Ethan Tillotson, MD in Tupelo, MS - Medicare Family Practice

Ethan Tillotson, MD is a medicare enrolled "Family Medicine" physician in Tupelo, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Mississippi Faculty Practice Plan Llc and his current practice location is 1665 S Green St, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-2189.

Ethan Tillotson is licensed to practice in Mississippi (license number 25270) 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 1194175273.

Contact Information

	Ethan Tillotson, MD
	1665 S Green St, Tupelo, MS 38804-6556
	(662) 377-2189
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethan Tillotson
Gender	Male
Speciality	Family Practice
Experience	8 Years
Location	1665 S Green St, Tupelo, Mississippi
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:

Ethan Tillotson attended and graduated from University Of Mississippi School Of Medicine in 2016

NPI Data:

NPI Number: 1194175273
Provider Enumeration Date: 06/20/2016
Last Update Date: 06/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8224323183
Enrollment ID: I20200526003086

Medical Identifiers

Medical identifiers for Ethan Tillotson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194175273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	25270 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Mississippi Medical Ctr Hha	Tupelo, MS	Home health agency
North Mississippi Medical Center	Tupelo, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Mississippi Faculty Practice Plan Llc	2961658950	9

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. Ethan Tillotson allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Faculty Practice Plan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255692356 PECOS PAC ID: 2961658950 Enrollment ID: O20120807000540

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. Ethan Tillotson 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
Ethan Tillotson, MD 1665 S Green St, Tupelo, MS 38804-6556 Ph: (662) 377-2189	Ethan Tillotson, MD 1665 S Green St, Tupelo, MS 38804-6556 Ph: (662) 377-2189

Reviews and Comments

Family Medicine Doctors in Tupelo, MS

Mr. Aaron Ashley Amos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Gloster St # 123, Tupelo, MS 38804 Phone: 407-508-8618
Terry Ray Perrine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1665 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263
Joannie Franklin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 65 S Thomas St, Tupelo, MS 38801 Phone: 662-844-9376 Fax: 662-844-4326
John Edward Hill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1665 S Green St, Tupelo, MS 38804 Phone: 662-377-2189 Fax: 662-377-2263
Dr. Benjamin Gilliland, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1265 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-407-2528
Raines Atherton Chaffin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 125 County Road 1698, Tupelo, MS 33804 Phone: 501-454-1960
Dr. Ashley Wayne Harris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 845 S Madison St, Tupelo, MS 38801 Phone: 662-377-5930

Ethan Tillotson, MD - Medicare Family Practice in Tupelo, MS