Larry P Till Jr, MD in Conroe, TX - Medicare Emergency Medicine

Larry P Till Jr, MD is a medicare enrolled "Emergency Medicine" physician in Conroe, Texas. His current practice location is 504 Medical Center Blvd, Conroe, Texas. You can reach out to his office (for appointments etc.) via phone at (409) 539-1111.

Larry P Till Jr is licensed to practice in Texas (license number J0314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679553820.

Contact Information

	Larry P Till Jr, MD
	504 Medical Center Blvd, Conroe, TX 77304-2808
	(409) 539-1111
	(409) 788-8044

Map and Direction

Physician's Profile

Full Name	Larry P Till Jr
Gender	Male
Speciality	Emergency Medicine
Location	504 Medical Center Blvd, Conroe, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679553820
Provider Enumeration Date: 01/21/2006
Last Update Date: 12/01/2010

Medicare PECOS Information:

PECOS PAC ID: 3375671829
Enrollment ID: I20100504000903

Medical Identifiers

Medical identifiers for Larry P Till Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679553820	NPI	-	NPPES
139280516	Medicaid	TX
8F9642	Other	TX	BCBSTX PROV NO
1679553820	Other	TX	TRICARE SOUTH
139280518	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	J0314 (Texas)	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. Larry P Till Jr allows following entities to bill medicare on his behalf.

Entity Name	Integrative Emergency Services Physician Group-houston Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208

Entity Name	Ies Mobile Medicine Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992320758 PECOS PAC ID: 2466878624 Enrollment ID: O20200818003032

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. Larry P Till Jr 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
Larry P Till Jr, MD Po Box 200993, Houston, TX 77216-0993 Ph: (281) 784-1111	Larry P Till Jr, MD 504 Medical Center Blvd, Conroe, TX 77304-2808 Ph: (409) 539-1111

Reviews and Comments

Emergency Medicine Doctors in Conroe, TX

Dr. John Eric Buck, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 13265 Meadow Creek Ln, Conroe, TX 77302 Phone: 936-441-0674
Dr. Peter William Harris, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 936-539-7044
Timothy J O'brien, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044
Jason M Lebwohl, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044
Gerald B Cobb, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044
Pamela T Hammond, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 504 Medical Center Blvd, Conroe, TX 77304 Phone: 409-539-1111 Fax: 409-788-8044
Dr. Thomas J Patton Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Conroe Medical Dr, Conroe, TX 77304 Phone: 936-539-4004 Fax: 936-521-3964

Larry P Till Jr, MD - Medicare Emergency Medicine in Conroe, TX