Mr Jackson E Tillquist, ARNP in Safety Harbor, FL

Mr Jackson E Tillquist, ARNP is a medicare enrolled "Nurse Practitioner" in Safety Harbor, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Baycare Medical Group, Inc. and his current practice location is 1840 Mease Dr, Suite 200, Safety Harbor, Florida. You can reach out to his office (for appointments etc.) via phone at (727) 724-8611.

Mr Jackson E Tillquist is licensed to practice in Florida (license number ARNP9258226) 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 1720442940.

Contact Information

	Mr Jackson E Tillquist, ARNP
	1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602
	(727) 724-8611
	(727) 724-0425

Map and Direction

Provider's Profile

Full Name	Mr Jackson E Tillquist
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	1840 Mease Dr, Safety Harbor, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jackson E Tillquist graduated from nursing school in 2016

NPI Data:

NPI Number: 1720442940
Provider Enumeration Date: 04/13/2016
Last Update Date: 10/14/2016

Medicare PECOS Information:

PECOS PAC ID: 4183912934
Enrollment ID: I20161011000384

Medical Identifiers

Medical identifiers for Mr Jackson E Tillquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720442940	NPI	-	NPPES
018482900	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	9258226 (Florida)	Secondary
363L00000X	Nurse Practitioner	ARNP9258226 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Morton Plant Hospital	Clearwater, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Medical Group, Inc.	6406753623	1010

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. Mr Jackson E Tillquist allows following entities to bill medicare on his behalf.

Entity Name	Baycare Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718

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. Mr Jackson E Tillquist 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
Mr Jackson E Tillquist, ARNP Po Box 10744, Clearwater, FL 33757-8744 Ph: (727) 532-0002	Mr Jackson E Tillquist, ARNP 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 Ph: (727) 724-8611

Reviews and Comments

Nurse Practitioner Nurses in Safety Harbor, FL

Gillian Leeder, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 Phone: 727-785-6011 Fax: 877-331-6124
Danielle Konrad, APRN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1840 Mease Dr Ste 402, Safety Harbor, FL 34695 Phone: 727-330-7652
Lena Marie Willis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Harbor Hill Dr, Safety Harbor, FL 34695 Phone: 727-902-0205
Charlotte Louise Von Holleben, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-725-6863 Fax: 727-725-6734
Stephanos Nicholas Tsongranis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3231 Mcmullen Booth Rd, Safety Harbor, FL 34695 Phone: 727-487-4189
Lisa Marie Lauderdale, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695 Phone: 727-330-7652
Staci Nicole Rosen, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1840 Mease Dr Ste 202, Safety Harbor, FL 34695 Phone: 727-725-6246

Mr Jackson E Tillquist, ARNP - Medicare Nurse Practitioner in Safety Harbor, FL