Rebecca Tillery, PA-C is a medicare enrolled "Physician Assistant" physician in Orlando, Florida. Her current practice location is
13535 Nemours Pkwy, Nemours Childrens Hospital, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 567-4760.
Rebecca Tillery is licensed to practice in Florida (license number PA9108366) 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 1861521999.
Physician's Profile
| Full Name | Rebecca Tillery |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 13535 Nemours Pkwy, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861521999
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 01/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 3274623020
- Enrollment ID: I20150128001824
Medical Identifiers
Medical identifiers for Rebecca Tillery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861521999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | PA030471 (District Of Columbia) | Secondary |
| 363A00000X | Physician Assistant | PA9108366 (Florida) | Primary |
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. Rebecca Tillery 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 |
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Rebecca Tillery, PA-C
Po Box 191, Provider Enollment Department,
Rockland, DE 19732-0191
Ph: (302) 651-6212 | Rebecca Tillery, PA-C
13535 Nemours Pkwy, Nemours Childrens Hospital,
Orlando, FL 32827-7402
Ph: (407) 567-4760 |
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