Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC - Medicare Nurse Practitioner in Conyers, GA

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Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Conyers, Georgia. Her current practice location is 3230 Old Church Cv Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 221-8855.

Ms Candace Marvenia Tillman is licensed to practice in Georgia (license number RN142932) 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 1871865113.

Contact Information

Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC
3230 Old Church Cv Ne,
Conyers, GA 30012-2647
(678) 221-8855
Not Available

Map and Direction




Provider's Profile

Full NameMs Candace Marvenia Tillman
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location3230 Old Church Cv Ne, Conyers, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871865113
  • Provider Enumeration Date: 02/02/2012
  • Last Update Date: 09/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5597901470
  • Enrollment ID: I20130419000241

Medical Identifiers

Medical identifiers for Ms Candace Marvenia Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871865113NPI-NPPES
RN142932OtherGASTATE OF GEORGIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health RN142932 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN142932 (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. Ms Candace Marvenia Tillman allows following entities to bill medicare on her behalf.
Entity NameCare At Home Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699552836
PECOS PAC ID: 5092164533
Enrollment ID: O20231222000464

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. Ms Candace Marvenia 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 AddressPractice Location Address
Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC
3230 Old Church Cv Ne,
Conyers, GA 30012-2647

Ph: (678) 221-8855		Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC
3230 Old Church Cv Ne,
Conyers, GA 30012-2647

Ph: (678) 221-8855

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.