Mrs Shari Tillman, FNP-C in Merritt Island, FL

Mrs Shari Tillman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Merritt Island, Florida. Her current practice location is 375 S Courtenay Pkwy Ste 4, Merritt Island, Florida. You can reach out to her office (for appointments etc.) via phone at (321) 544-0757.

Mrs Shari Tillman is licensed to practice in Florida (license number 11007581) 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 1568080422.

Contact Information

	Mrs Shari Tillman, FNP-C
	375 S Courtenay Pkwy Ste 4, Merritt Island, FL 32952-4868
	(321) 544-0757
	(321) 338-7062

Map and Direction

Provider's Profile

Full Name	Mrs Shari Tillman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	375 S Courtenay Pkwy Ste 4, Merritt Island, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568080422
Provider Enumeration Date: 07/08/2020
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0143634725
Enrollment ID: I20210121001766

Medical Identifiers

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

Identifier	Type	State	Issuer
1568080422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11007581 (Florida)	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 Shari Tillman allows following entities to bill medicare on her behalf.

Entity Name	Omni Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191323 PECOS PAC ID: 5496652380 Enrollment ID: O20031218000059

Entity Name	Tropical Family Healthcare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467232900 PECOS PAC ID: 8628424892 Enrollment ID: O20231024002000

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 Shari 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 Shari Tillman, FNP-C 375 S Courtenay Pkwy Ste 4, Merritt Island, FL 32952-4868 Ph: (321) 544-0757	Mrs Shari Tillman, FNP-C 375 S Courtenay Pkwy Ste 4, Merritt Island, FL 32952-4868 Ph: (321) 544-0757

Reviews and Comments

Nurse Practitioner Nurses in Merritt Island, FL

Mr. Leander Jostin Beams Sr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 Mcleod St, Merritt Island, FL 32953 Phone: 321-452-2016
Mrs. Cori Megan Daniels, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2409 Willowbrook Rd, Merritt Island, FL 32952 Phone: 321-863-8215
Nichole E Venzara, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 Stewart Dr, Merritt Island, FL 32952 Phone: 321-302-6574
Michelle M Dymond, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 N Tropical Trl Ste 105, Merritt Island, FL 32953 Phone: 321-720-5288
Ms. Mary Ann Davidson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 390 N Courtenay Pkwy, Merritt Island, FL 32953 Phone: 321-633-3162 Fax: 321-684-7872
Mrs. Kimberly Deniese Mcdaniel, AUTONOMOUS APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 775 E Merritt Island Cswy Ste 115, Merritt Island, FL 32952 Phone: 321-349-0642 Fax: 321-349-0643
Anabel P Pereda, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 N Sykes Creek Pkwy Ste 301, Merritt Island, FL 32953 Phone: 321-361-5534 Fax: 321-361-5543

Mrs Shari Tillman, FNP-C - Medicare Nurse Practitioner in Merritt Island, FL