Charles O Tillman Iii, PT is a
Physical Therapist based in Pawnee, Oklahoma. Charles O Tillman Iii is licensed to practice in Oklahoma (license number 3469) and his current practice location is
1201 Heritage Cir, Pawnee, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 762-6653.
NPI number for Charles O Tillman Iii is 1336124809 and his current mailing address is 5017 E Lakeview Rd, Stillwater, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336124809.
Healthcare Provider's Profile
| Full Name | Charles O Tillman Iii |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 1201 Heritage Cir, Pawnee, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336124809
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Charles O Tillman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336124809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 3469 (Oklahoma) | Primary |
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. Charles O Tillman Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles O Tillman Iii, PT
5017 E Lakeview Rd,
Stillwater, OK 74075-3022
Ph: (405) 624-2712 | Charles O Tillman Iii, PT
1201 Heritage Cir,
Pawnee, OK 74058-3744
Ph: (918) 762-6653 |
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