Kelly Tillman, in Statesboro, GA - Medicare Nurse Practitioner

Kelly Tillman, is a medicare enrolled "Nurse Practitioner - Family" in Statesboro, Georgia. Her current practice location is 23702 Hwy 80 E, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 489-4090.

Kelly Tillman is licensed to practice in Georgia (license number RN161574) 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 1518337278.

Contact Information

	Kelly Tillman,
	23702 Hwy 80 E, Statesboro, GA 30461-0845
	(912) 489-4090
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Tillman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	23702 Hwy 80 E, Statesboro, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518337278
Provider Enumeration Date: 10/06/2015
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 5890099089
Enrollment ID: I20160209001133

Medical Identifiers

Medical identifiers for Kelly Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518337278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN161574 (Georgia)	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. Kelly Tillman allows following entities to bill medicare on her behalf.

Entity Name	Georgia Emergency Physician Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285685156 PECOS PAC ID: 9032010764 Enrollment ID: O20040116000031

Entity Name	Family Health Care Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205855988 PECOS PAC ID: 4082601299 Enrollment ID: O20040429000292

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. Kelly 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
Kelly Tillman, 4700 Waters Ave, Savannah, GA 31404-6220 Ph: () -	Kelly Tillman, 23702 Hwy 80 E, Statesboro, GA 30461-0845 Ph: (912) 489-4090

Reviews and Comments

Nurse Practitioner Nurses in Statesboro, GA

Jenna Cottrell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611
Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090

Kelly Tillman, - Medicare Nurse Practitioner in Statesboro, GA