Kimberly Lynn Tiller, PA-C is a medicare enrolled "Physician Assistant" in Edwardsville, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is
2122 Troy Rd Ste 130, Edwardsville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 800-4500.
Kimberly Lynn Tiller is licensed to practice in Illinois (license number 085.006897) 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 1467930883.
Provider's Profile
Full Name | Kimberly Lynn Tiller |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 6 Years |
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Location | 2122 Troy Rd Ste 130, Edwardsville, Illinois |
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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. |
Medical Education and Training:
- Kimberly Lynn Tiller graduated from nursing school in 2018
NPI Data:
- NPI Number: 1467930883
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567703853
- Enrollment ID: I20190415002402
Medical Identifiers
Medical identifiers for Kimberly Lynn Tiller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467930883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085.006897 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Fairview Heights Medical Group Sc | 6800784083 | 346 |
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. Kimberly Lynn Tiller 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 |
Kimberly Lynn Tiller, PA-C 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4500 | Kimberly Lynn Tiller, PA-C 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 Ph: (618) 800-4500 |
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