Mr Gary M Tillman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Le Mars, Iowa. He graduated from nursing school in 1982 and has 42 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Floyd Valley Healthcare, Sioux Center Health and his current practice location is
714 Lincoln St Ne, Le Mars, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 546-3398.
Mr Gary M Tillman is licensed to practice in Iowa (license number 050971) 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 1417018276.
Provider's Profile
Full Name | Mr Gary M Tillman |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 42 Years |
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Location | 714 Lincoln St Ne, Le Mars, Iowa |
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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 Gary M Tillman graduated from nursing school in 1982
NPI Data:
- NPI Number: 1417018276
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 11/17/2010
Medicare PECOS Information:
- PECOS PAC ID: 1254496623
- Enrollment ID: I20090218000521
Medical Identifiers
Medical identifiers for Mr Gary M Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417018276 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 050971 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Floyd Valley Healthcare | 2769385475 | 25 |
Sioux Center Health | 9032027495 | 29 |
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 Gary M Tillman allows following entities to bill medicare on his behalf.
Entity Name | Floyd Valley Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578625653 PECOS PAC ID: 2769385475 Enrollment ID: O20040129001169 |
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Entity Name | Sioux Center Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669542981 PECOS PAC ID: 9032027495 Enrollment ID: O20040224001315 |
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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 Gary M 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 |
Mr Gary M Tillman, CRNA 714 Lincoln St Ne, Le Mars, IA 51031-3314 Ph: (712) 546-3398 | Mr Gary M Tillman, CRNA 714 Lincoln St Ne, Le Mars, IA 51031-3314 Ph: (712) 546-3398 |
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