Kirsten Tillisch, MD - Medicare Internal Medicine in Los Angeles, CA

Kirsten Tillisch, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Los Angeles, California. Her current practice location is 200 Medical Plaza, #365,530,420,120, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (310) 208-5400.

Kirsten Tillisch is licensed to practice in California (license number A67398) 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 1881614493.

Contact Information

Kirsten Tillisch, MD
200 Medical Plaza, #365,530,420,120,
Los Angeles, CA 90095-3075
(310) 208-5400
Not Available

Map and Direction




Physician's Profile

Full NameKirsten Tillisch
GenderFemale
SpecialityInternal Medicine - Gastroenterology
Location200 Medical Plaza, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881614493
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 07/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7214080100
  • Enrollment ID: I20120227000784

Medical Identifiers

Medical identifiers for Kirsten Tillisch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881614493NPI-NPPES
00A673980MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology A67398 (California)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. Kirsten Tillisch allows following entities to bill medicare on her behalf.
Entity NameThe Regents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439

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. Kirsten Tillisch 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 AddressPractice Location Address
Kirsten Tillisch, MD
5767 W Century Blvd, Suite 200,
Los Angeles, CA 90045-5632

Ph: (310) 208-5400
Kirsten Tillisch, MD
200 Medical Plaza, #365,530,420,120,
Los Angeles, CA 90095-3075

Ph: (310) 208-5400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.