Mrs Patrice Vivien Tillman, RN,MSN in Lawrenceville, GA

Mrs Patrice Vivien Tillman, RN,MSN is a medicare enrolled "Registered Nurse - Psychiatric/mental Health, Adult" in Lawrenceville, Georgia. Her current practice location is 175 Gwinnett Dr, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 339-5000.

Mrs Patrice Vivien Tillman is licensed to practice in Georgia (license number RN058224) 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 1992852123.

Contact Information

	Mrs Patrice Vivien Tillman, RN,MSN
	175 Gwinnett Dr, Lawrenceville, GA 30045-8444
	(770) 339-5000
	(770) 822-1698

Map and Direction

Provider's Profile

Full Name	Mrs Patrice Vivien Tillman
Gender	Female
Speciality	Registered Nurse - Psychiatric/mental Health, Adult
Location	175 Gwinnett Dr, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992852123
Provider Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9234305681
Enrollment ID: I20120105000870

Medical Identifiers

Medical identifiers for Mrs Patrice Vivien Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992852123	NPI	-	NPPES
RN058224	Other	GA	RN LIC.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	RN058224 (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. Mrs Patrice Vivien Tillman allows following entities to bill medicare on her behalf.

Entity Name	View Point Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609853860 PECOS PAC ID: 0840272282 Enrollment ID: O20040601001088

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. Mrs Patrice Vivien 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
Mrs Patrice Vivien Tillman, RN,MSN 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 Ph: (770) 339-5000	Mrs Patrice Vivien Tillman, RN,MSN 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 Ph: (770) 339-5000

Reviews and Comments

Registered Nurse Nurses in Lawrenceville, GA

Barbara O'callaghan, RN, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Drive, 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577
Glory Osadiaye, PMHNP, MSN, BSN, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 250 Constitution Blvd, Lawrenceville, GA 30046 Phone: 470-844-0157 Fax: 678-539-8899
Harriet Adigwu, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394
Mrs. Latrina Graham, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394
Abidemi Macgregor, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 762 Lynnfield Dr, Lawrenceville, GA 30045 Phone: 678-727-6192
Mr. Jahid Kwaku Ross, NURSE PRACTITIONER Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 404-209-2394
Lauren Kae Brooks, CNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 631 Professional Dr Ste 200, Lawrenceville, GA 30046 Phone: 678-312-3500 Fax: 678-312-3529

Mrs Patrice Vivien Tillman, RN,MSN - Medicare Registered Nurse in Lawrenceville, GA