Dr Brian Tillis, MD in Pleasant Prairie, WI - Medicare Obstetrics/gynecology

Dr Brian Tillis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Pleasant Prairie, Wisconsin. He went to Southern Illinois University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Froedtert South Inc and his current practice location is 9555 76th St Ste 4105, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 577-8080.

Dr Brian Tillis is licensed to practice in Wisconsin (license number 69543-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396107405.

Contact Information

	Dr Brian Tillis, MD
	9555 76th St Ste 4105, Pleasant Prairie, WI 53158-1984
	(262) 577-8080
	(262) 577-8081

Map and Direction

Physician's Profile

Full Name	Dr Brian Tillis
Gender	Male
Speciality	Obstetrics/gynecology
Experience	8 Years
Location	9555 76th St Ste 4105, Pleasant Prairie, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Brian Tillis attended and graduated from Southern Illinois University School Of Medicine in 2016

NPI Data:

NPI Number: 1396107405
Provider Enumeration Date: 03/28/2016
Last Update Date: 07/16/2020

Medicare PECOS Information:

PECOS PAC ID: 2365781473
Enrollment ID: I20200722003812

Medical Identifiers

Medical identifiers for Dr Brian Tillis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396107405	NPI	-	NPPES
69543-20	Other	WI	WI LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	69543-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Hospital System	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert South Inc	9537071196	118

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. Dr Brian Tillis allows following entities to bill medicare on his behalf.

Entity Name	Froedtert South Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493

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. Dr Brian Tillis 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
Dr Brian Tillis, MD 9555 76th St # 4105, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8080	Dr Brian Tillis, MD 9555 76th St Ste 4105, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8080

Reviews and Comments

Obstetrics & Gynecology Doctors in Pleasant Prairie, WI

Michael A Schellpfeffer, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 76th Street, Pleasant Prairie, WI 53158 Phone: 262-577-8080 Fax: 262-577-8081
Dr. Kelli Louise Sasada, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Suite 4105, Pleasant Prairie, WI 53158 Phone: 262-577-8080 Fax: 262-577-8081
Thomas M Ambro, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St Ste 4105, Pleasant Prairie, WI 53158 Phone: 262-577-8080 Fax: 262-577-8081
Dr. Caroline Eleonora Bednarski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St # 4105, Pleasant Prairie, WI 53158 Phone: 262-577-8080

Dr Brian Tillis, MD - Medicare Obstetrics/gynecology in Pleasant Prairie, WI