Caitlin L Tillack, ANP in Canandaigua, NY - Medicare Nurse Practitioner

Caitlin L Tillack, ANP is a medicare enrolled "Nurse Practitioner - Gerontology" in Canandaigua, New York. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rochester General Hospital, Western New York Medical Practice Pc and her current practice location is 495 N Main St, Canandaigua, New York. You can reach out to her office (for appointments etc.) via phone at (585) 393-3515.

Caitlin L Tillack is licensed to practice in New York (license number 309029) 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 1124588660.

Contact Information

	Caitlin L Tillack, ANP
	495 N Main St, Canandaigua, NY 14424-1283
	(585) 393-3515
	(585) 393-3526

Map and Direction

Provider's Profile

Full Name	Caitlin L Tillack
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	495 N Main St, Canandaigua, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Caitlin L Tillack graduated from nursing school in 2018

NPI Data:

NPI Number: 1124588660
Provider Enumeration Date: 03/21/2019
Last Update Date: 05/25/2021

Medicare PECOS Information:

PECOS PAC ID: 0840532693
Enrollment ID: I20190429000613

Medical Identifiers

Medical identifiers for Caitlin L Tillack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124588660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	309029 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rochester General Hospital	Rochester, NY	Hospital
F F Thompson Hospital	Canandaigua, NY	Hospital
Clifton Springs Hospital And Clinic	Clifton springs, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rochester General Hospital	0244149474	892
Western New York Medical Practice Pc	3870767791	409

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. Caitlin L Tillack allows following entities to bill medicare on her behalf.

Entity Name	Rochester General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644

Entity Name	Western New York Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598

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. Caitlin L Tillack 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
Caitlin L Tillack, ANP 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (585) 922-1900	Caitlin L Tillack, ANP 495 N Main St, Canandaigua, NY 14424-1283 Ph: (585) 393-3515

Reviews and Comments

Nurse Practitioner Nurses in Canandaigua, NY

Sue E. Staley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 Parrish St, Canandaigua, NY 14424 Phone: 585-396-6071
Mrs. Lucy Zabelle Stoyles, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Fort Hill Ave, Canandaigua, NY 14424 Phone: 585-394-2000
Ms. Virginia P Krebbeks, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 199 Parrish St, Canandaigua, NY 14424 Phone: 585-394-2520 Fax: 585-394-2524
Terri L Dailey, WHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335 Parrish St, Canandaigua, NY 14424 Phone: 585-393-2800 Fax: 585-396-9275
Ms. Shawna Ann Hyland, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 699 S Main St, Canandaigua, NY 14424 Phone: 585-275-2838
Callie Vinci, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Parrish St, Canandaigua, NY 14424 Phone: 585-396-6000
Matthew Scott Mchenry, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 West St Ste 500, Canandaigua, NY 14424 Phone: 585-905-0061 Fax: 585-412-6612

Caitlin L Tillack, ANP - Medicare Nurse Practitioner in Canandaigua, NY