Que'linda Ladawn Tillman-wilson, PMHNP - Medicare Nurse Practitioner in Conway, AR

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Que'linda Ladawn Tillman-wilson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Conway, Arkansas. Her current practice location is 685 Shelby Trl Ste 105, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (617) 379-0493.

Que'linda Ladawn Tillman-wilson is licensed to practice in Arkansas (license number 216880) 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 1821661802.

Contact Information

Que'linda Ladawn Tillman-wilson, PMHNP
685 Shelby Trl Ste 105,
Conway, AR 72034-7169
(617) 379-0493
Not Available

Map and Direction




Provider's Profile

Full NameQue'linda Ladawn Tillman-wilson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location685 Shelby Trl Ste 105, Conway, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821661802
  • Provider Enumeration Date: 07/19/2021
  • Last Update Date: 06/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284031048
  • Enrollment ID: I20210921001679

Medical Identifiers

Medical identifiers for Que'linda Ladawn Tillman-wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821661802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 216880 (Arkansas)Primary
163WP0808XRegistered Nurse - Psychiatric/mental Health 216880 (Arkansas)Secondary

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. Que'linda Ladawn Tillman-wilson allows following entities to bill medicare on her behalf.
Entity NameIpc Pac Healthcare Services Of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326497587
PECOS PAC ID: 4587950589
Enrollment ID: O20180122001018
Entity NameForefront-rush Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588152649
PECOS PAC ID: 8628324878
Enrollment ID: O20180702002149
Entity NameConway Behavioral Health, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245728484
PECOS PAC ID: 3779857891
Enrollment ID: O20181010003468
Entity NameThrive Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20210330001195

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. Que'linda Ladawn Tillman-wilson 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
Que'linda Ladawn Tillman-wilson, PMHNP
685 Shelby Trl Ste 105,
Conway, AR 72034-7169

Ph: (617) 379-0493		Que'linda Ladawn Tillman-wilson, PMHNP
685 Shelby Trl Ste 105,
Conway, AR 72034-7169

Ph: (617) 379-0493

Reviews and Comments


Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034
Phone: 501-358-6695    Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1065 Skyline Dr, Conway, AR 72032
Phone: 501-499-6222    
Cynthia Lou Grubbs, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 495 Hogan Ln, Conway, AR 72034
Phone: 501-327-1150    Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032
Phone: 501-327-7100    Fax: 501-279-9011
Keisha A. Fox,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034
Phone: 479-518-4977    Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032
Phone: 501-329-6851    
David Adam Steinfeld, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 855 S German Ln Ste 1, Conway, AR 72034
Phone: 501-358-6606    Fax: 501-325-5554

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.