Theresa Mae Tilton, MD - Medicare Radiology in Lexington, KY

Theresa Mae Tilton, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lexington, Kentucky. Her current practice location is 3021 Windermere Road, Lexington, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 278-5270.

Theresa Mae Tilton is licensed to practice in Kentucky (license number 34103) 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 1497752588.

Contact Information

Theresa Mae Tilton, MD
3021 Windermere Road,
Lexington, KY 40502-2950
(859) 278-5270
(229) 928-3492

Map and Direction




Physician's Profile

Full NameTheresa Mae Tilton
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location3021 Windermere Road, Lexington, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497752588
  • Provider Enumeration Date: 07/05/2005
  • Last Update Date: 02/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8729018999
  • Enrollment ID: I20110609000338

Medical Identifiers

Medical identifiers for Theresa Mae Tilton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497752588NPI-NPPES
300138462OtherRR
488628MedicaidAZ
808323500MedicaidID
P00922044OtherKYRXR MEDICARE
42591OtherBCBS
03083272MedicaidNY
221123800MedicaidMD
64927270MedicaidKY
263513500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME74267 (Florida)Secondary
2085R0202XRadiology - Diagnostic Radiology 34103 (Kentucky)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. Theresa Mae Tilton allows following entities to bill medicare on her behalf.
Entity NameDonalsonville Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720095805
PECOS PAC ID: 7113919820
Enrollment ID: O20040401001194

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. Theresa Mae Tilton 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
Theresa Mae Tilton, MD
23625 Commerce Park, Suite 204,
Beachwood, OH 44122-5845

Ph: (216) 255-5727
Theresa Mae Tilton, MD
3021 Windermere Road,
Lexington, KY 40502-2950

Ph: (859) 278-5270

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.