Laura Tillman, CNP in Saint Paul, MN - Medicare Nurse Practitioner

Laura Tillman, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Paul, Minnesota. Her current practice location is 200 University Ave E, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 578-5631.

Laura Tillman is licensed to practice in Minnesota (license number R 190665-3) 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 1427475706.

Contact Information

	Laura Tillman, CNP
	200 University Ave E, Saint Paul, MN 55101-2507
	(651) 578-5631
	Not Available

Map and Direction

Provider's Profile

Full Name	Laura Tillman
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	200 University Ave E, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427475706
Provider Enumeration Date: 03/25/2014
Last Update Date: 10/16/2014

Medicare PECOS Information:

PECOS PAC ID: 3072814052
Enrollment ID: I20151216001222

Medical Identifiers

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

Identifier	Type	State	Issuer
1427475706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R 190665-3 (Minnesota)	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. Laura Tillman allows following entities to bill medicare on her behalf.

Entity Name	Gillette Childrens Specialty Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485

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. Laura 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
Laura Tillman, CNP 200 University Ave E, Saint Paul, MN 55101-2507 Ph: () -	Laura Tillman, CNP 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 578-5631

Reviews and Comments

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Laura Tillman, CNP - Medicare Nurse Practitioner in Saint Paul, MN