Amy Michelle Tillman, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Hollis, Oklahoma. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Akram R. Abraham, M.d.pc and her current practice location is
920 N 8th, Hollis, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 688-2200.
Amy Michelle Tillman is licensed to practice in Oklahoma (license number 120820) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689121147.
Provider's Profile
| Full Name | Amy Michelle Tillman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 920 N 8th, Hollis, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Michelle Tillman graduated from nursing school in 2016
NPI Data:
- NPI Number: 1689121147
- Provider Enumeration Date: 09/01/2016
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618251216
- Enrollment ID: I20170227001925
Medical Identifiers
Medical identifiers for Amy Michelle Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689121147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 120820 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Akram R. Abraham, M.d.pc | 5597753244 | 4 |
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. Amy Michelle Tillman allows following entities to bill medicare on her behalf.
| Entity Name | Akram R. Abraham, M.d.pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225210248
PECOS PAC ID: 5597753244
Enrollment ID: O20040503001038 |
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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. Amy Michelle 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 Address | Practice Location Address |
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Amy Michelle Tillman, NURSE PRACTITIONER
920 N 8th St, Po Box 431,
Hollis, OK 73550-2026
Ph: (580) 688-2200 | Amy Michelle Tillman, NURSE PRACTITIONER
920 N 8th,
Hollis, OK 73550
Ph: (580) 688-2200 |
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