Kelli Marie Baker Tillman, FNP-C in Sanford, NC

Kelli Marie Baker Tillman, FNP-C is a medicare enrolled "Nurse Practitioner" in Sanford, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fhpg Llc and her current practice location is 1411 Greenway Ct, Sanford, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 292-1878.

Kelli Marie Baker Tillman is licensed to practice in North Carolina (license number F06191243) 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 1578112959.

Contact Information

	Kelli Marie Baker Tillman, FNP-C
	1411 Greenway Ct, Sanford, NC 27330-6954
	(919) 292-1878
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli Marie Baker Tillman
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1411 Greenway Ct, Sanford, North Carolina
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:

Kelli Marie Baker Tillman graduated from nursing school in 2019

NPI Data:

NPI Number: 1578112959
Provider Enumeration Date: 09/08/2019
Last Update Date: 01/08/2021

Medicare PECOS Information:

PECOS PAC ID: 9537594007
Enrollment ID: I20200113000251

Medical Identifiers

Medical identifiers for Kelli Marie Baker Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578112959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F06191243 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Firsthealth Moore Regional Hospital	Pinehurst, NC	Hospital
Central Carolina Hospital	Sanford, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fhpg Llc	9537481569	164

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. Kelli Marie Baker Tillman allows following entities to bill medicare on her behalf.

Entity Name	Pinehurst Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255388369 PECOS PAC ID: 5991617169 Enrollment ID: O20031105000305

Entity Name	Mcpc-8 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922552322 PECOS PAC ID: 3870740012 Enrollment ID: O20120823000423

Entity Name	Fhpg Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336154129 PECOS PAC ID: 9537481569 Enrollment ID: O20141202002644

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. Kelli Marie Baker 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
Kelli Marie Baker Tillman, FNP-C 1197 S Plank Rd, Sanford, NC 27330-8620 Ph: (919) 356-2735	Kelli Marie Baker Tillman, FNP-C 1411 Greenway Ct, Sanford, NC 27330-6954 Ph: (919) 292-1878

Reviews and Comments

Nurse Practitioner Nurses in Sanford, NC

Miss Molly Jean Crossman, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Carthage St, Sanford, NC 27330 Phone: 919-775-2304 Fax: 919-775-4050
Lisa Marie Foster, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 Gordon St, Sanford, NC 27330 Phone: 919-292-1489
Mrs. Kelly Scott Kirby, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2412 Wilkins Dr, Sanford, NC 27330 Phone: 919-776-6000
Mrs. Tara Renay Alin, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Central Dr, Sanford, NC 27330 Phone: 919-718-9512 Fax: 919-718-9516
Amie Renae Motley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2412 Wilkins Dr, Sanford, NC 27330 Phone: 919-776-6000
Augustine Brown, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 S Horner Blvd Ste A, Sanford, NC 27330 Phone: 917-554-3921
Beth P Stanfield, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1411 Greenway Ct, Sanford, NC 27330 Phone: 919-292-1878 Fax: 919-292-1879

Kelli Marie Baker Tillman, FNP-C - Medicare Nurse Practitioner in Sanford, NC