Mr Shadrick Wyatt Tillotson, PMHNP-BC - Medicare Nurse Practitioner in Lehi, UT

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Mr Shadrick Wyatt Tillotson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lehi, Utah. His current practice location is 2901 W Blue Grass Blvd Ste 200, Lehi, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 510-5150.

Mr Shadrick Wyatt Tillotson is licensed to practice in Utah (license number 6223314-4405) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528514809.

Contact Information

Mr Shadrick Wyatt Tillotson, PMHNP-BC
2901 W Blue Grass Blvd Ste 200,
Lehi, UT 84043-4190
(385) 510-5150
(866) 748-5235

Map and Direction




Provider's Profile

Full NameMr Shadrick Wyatt Tillotson
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2901 W Blue Grass Blvd Ste 200, Lehi, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528514809
  • Provider Enumeration Date: 08/28/2016
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709168073
  • Enrollment ID: I20170120001879

Medical Identifiers

Medical identifiers for Mr Shadrick Wyatt Tillotson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528514809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6223314-4405 (Utah)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 6223314-4405 (Utah)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. Mr Shadrick Wyatt Tillotson allows following entities to bill medicare on his behalf.
Entity NameDeborah A Christensen Phd & Associates, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891955936
PECOS PAC ID: 6901891498
Enrollment ID: O20040415000323
Entity NameCedar Psychiatry Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265092282
PECOS PAC ID: 2163750688
Enrollment ID: O20190822000230
Entity NamePremier Psychiatry Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538948005
PECOS PAC ID: 2860832318
Enrollment ID: O20240430004482

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 Shadrick Wyatt Tillotson 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 AddressPractice Location Address
Mr Shadrick Wyatt Tillotson, PMHNP-BC
2901 W Blue Grass Blvd Ste 200,
Lehi, UT 84043-4190

Ph: (385) 510-5150		Mr Shadrick Wyatt Tillotson, PMHNP-BC
2901 W Blue Grass Blvd Ste 200,
Lehi, UT 84043-4190

Ph: (385) 510-5150

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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