Ms Leslie Tillman, CRNP in Rockville, MD - Medicare Nurse Practitioner

Ms Leslie Tillman, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Rockville, Maryland. Her current practice location is 9850 Key West Ave, Rockville, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 765-5400.

Ms Leslie Tillman is licensed to practice in Virginia (license number 0024172978) 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 1518396985.

Contact Information

	Ms Leslie Tillman, CRNP
	9850 Key West Ave, Rockville, MD 20850-3960
	(301) 765-5400
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Leslie Tillman
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	9850 Key West Ave, Rockville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518396985
Provider Enumeration Date: 11/06/2013
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 6002202900
Enrollment ID: I20220401000013

Medical Identifiers

Medical identifiers for Ms Leslie Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518396985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AC001267 (Maryland)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	0024172978 (Virginia)	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 Leslie Tillman allows following entities to bill medicare on her behalf.

Entity Name	Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130

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 Leslie 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
Ms Leslie Tillman, CRNP Po Box 744785, Atlanta, GA 30374-4785 Ph: (202) 476-5000	Ms Leslie Tillman, CRNP 9850 Key West Ave, Rockville, MD 20850-3960 Ph: (301) 765-5400

Reviews and Comments

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Ms Leslie Tillman, CRNP - Medicare Nurse Practitioner in Rockville, MD