Tammie L Tillman, FNP in Jackson, MS - Medicare Nurse Practitioner

Tammie L Tillman, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Jackson, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Mississippi Civic Improvement Association, Inc and her current practice location is 3502 West Nortside Drive, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 362-5321.

Tammie L Tillman is licensed to practice in Mississippi (license number R877379) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528445624.

Contact Information

	Tammie L Tillman, FNP
	3502 West Nortside Drive, Jackson, MS 39213
	(601) 362-5321
	(601) 364-5159

Map and Direction

Provider's Profile

Full Name	Tammie L Tillman
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	3502 West Nortside Drive, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tammie L Tillman graduated from nursing school in 2013

NPI Data:

NPI Number: 1528445624
Provider Enumeration Date: 04/28/2015
Last Update Date: 10/03/2015

Medicare PECOS Information:

PECOS PAC ID: 8628388543
Enrollment ID: I20151105000946

Medical Identifiers

Medical identifiers for Tammie L Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528445624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	R877379 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Mississippi Civic Improvement Association, Inc	4183533235	49

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. Tammie L Tillman allows following entities to bill medicare on her behalf.

Entity Name	Central Mississippi Civic Improvement Association, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125

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. Tammie L 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
Tammie L Tillman, FNP 3502 West Nortside Drive, Jackson, MS 39213 Ph: (601) 362-5321	Tammie L Tillman, FNP 3502 West Nortside Drive, Jackson, MS 39213 Ph: (601) 362-5321

Reviews and Comments

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Tammie L Tillman, FNP - Medicare Nurse Practitioner in Jackson, MS