Mark Tillotson, MD | |
257 Hospital Drive Suite 200, Bolivia, NC 28422-8411 | |
(910) 721-4000 | |
(910) 721-4001 |
Full Name | Mark Tillotson |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 36 Years |
Location | 257 Hospital Drive Suite 200, Bolivia, North Carolina |
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 |
---|---|---|---|
1649256850 | NPI | - | NPPES |
36841 | Other | NC | NC LICENSE |
8983552 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 36841 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Brunswick Medical Center | Supply, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Mark Tillotson, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840 | Mark Tillotson, MD 257 Hospital Drive Suite 200, Bolivia, NC 28422-8411 Ph: (910) 721-4000 |
Matt Aaron Benenati, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 | |
Richard Ralph Scallion, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 | |
Joseph Andrew Smith, Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 | |
Adolfo Richard Desandre, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 257 Hospital Drive Suite 200, Bolivia, NC 28422 Phone: 910-721-4000 Fax: 910-721-4001 |