Sharika Tillman, FNP -BC - Medicare Registered Nurse in Kennesaw, GA

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Sharika Tillman, FNP -BC is a medicare enrolled "Registered Nurse" in Kennesaw, Georgia. Her current practice location is 2001 Duncan Dr Nw, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (309) 369-2940.

Sharika Tillman is licensed to practice in Georgia (license number RN302209) 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 1154057990.

Contact Information

Sharika Tillman, FNP -BC
2001 Duncan Dr Nw,
Kennesaw, GA 30144-3513
(309) 369-2940
Not Available

Map and Direction




Provider's Profile

Full NameSharika Tillman
GenderFemale
SpecialityRegistered Nurse
Location2001 Duncan Dr Nw, Kennesaw, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154057990
  • Provider Enumeration Date: 07/25/2022
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729455233
  • Enrollment ID: I20221111001342

Medical Identifiers

Medical identifiers for Sharika Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154057990NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN302209 (Georgia)Primary

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. Sharika Tillman allows following entities to bill medicare on her behalf.
Entity NameMedical Director Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871955807
PECOS PAC ID: 0042501116
Enrollment ID: O20190301002321
Entity NameHardy Renew Wellness,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952914368
PECOS PAC ID: 2961812425
Enrollment ID: O20201112000534

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. Sharika 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 AddressPractice Location Address
Sharika Tillman, FNP -BC
2001 Duncan Dr Nw,
Kennesaw, GA 30144-3513

Ph: (309) 369-2940		Sharika Tillman, FNP -BC
2001 Duncan Dr Nw,
Kennesaw, GA 30144-3513

Ph: (309) 369-2940

Reviews and Comments


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Christopher Laldin,
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Paul Bahati, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152
Phone: 770-427-0147    

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.