Tywaun Kretrica Tillman, MD - Medicare Cardiovascular Disease (cardiology) in Tampa, FL

Tywaun Kretrica Tillman, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Tampa, Florida. He went to Medical College Of Georgia School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Citizens Medical Center County Of Victoria and his current practice location is 4210 W Linebaugh Ave, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 884-0923.

Tywaun Kretrica Tillman is licensed to practice in Florida (license number ME169173) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710915012.

Contact Information

Tywaun Kretrica Tillman, MD
4210 W Linebaugh Ave,
Tampa, FL 33624-5241
(813) 884-0923
(813) 377-1006

Map and Direction




Physician's Profile

Full NameTywaun Kretrica Tillman
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience26 Years
Location4210 W Linebaugh Ave, Tampa, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tywaun Kretrica Tillman attended and graduated from Medical College Of Georgia School Of Medicine in 1998
  NPI Data:
  • NPI Number: 1710915012
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961422506
  • Enrollment ID: I20080219000552

Medical Identifiers

Medical identifiers for Tywaun Kretrica Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710915012NPI-NPPES
PENDINGOtherTXBLUE CROSS BLUE SHIELD
PENDINGMedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease ME169173 (Florida)Primary
207R00000XInternal Medicine M8387 (Texas)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease M8387 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Citizens Medical CenterVictoria, TXHospital
Yoakum Community HospitalYoakum, TXHospital
Lavaca Medical CenterHallettsville, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Citizens Medical Center County Of Victoria357778509685

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. Tywaun Kretrica Tillman allows following entities to bill medicare on his behalf.
Entity NameLavaca Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245274471
PECOS PAC ID: 1153211750
Enrollment ID: O20040317001233
Entity NameCitizens Medical Center County Of Victoria
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205242088
PECOS PAC ID: 3577785096
Enrollment ID: O20141117000499

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. Tywaun Kretrica Tillman 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
Tywaun Kretrica Tillman, MD
38135 Market Square Dr,
Zephyrhills, FL 33542-7505

Ph: (352) 567-0188
Tywaun Kretrica Tillman, MD
4210 W Linebaugh Ave,
Tampa, FL 33624-5241

Ph: (813) 884-0923

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.