Kristopher Glenn Tillman, DPT in Baltimore, MD - Medicare Physical Therapist Provider

Kristopher Glenn Tillman, DPT is a medicare enrolled "Physical Therapist" provider in Baltimore, Maryland. His current practice location is 1100 E 33rd St Ste 105, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 366-0791.

Kristopher Glenn Tillman is licensed to practice in Maryland (license number 25975) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184156457.

Contact Information

	Kristopher Glenn Tillman, DPT
	1100 E 33rd St Ste 105, Baltimore, MD 21218-6795
	(410) 366-0791
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristopher Glenn Tillman
Gender	Male
Speciality	Physical Therapist
Location	1100 E 33rd St Ste 105, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184156457
Provider Enumeration Date: 03/28/2017
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 9032478102
Enrollment ID: I20180118000964

Medical Identifiers

Medical identifiers for Kristopher Glenn Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184156457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	25975 (Maryland)	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. Kristopher Glenn Tillman allows following entities to bill medicare on his behalf.

Provider Name	Life Fitness Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1932160595 PECOS PAC ID: 2466416581 Enrollment ID: O20041117000899

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. Kristopher Glenn 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
Kristopher Glenn Tillman, DPT 10980 Grantchester Way, Columbia, MD 21044-6097 Ph: (877) 772-6505	Kristopher Glenn Tillman, DPT 1100 E 33rd St Ste 105, Baltimore, MD 21218-6795 Ph: (410) 366-0791

Reviews and Comments

Physical Therapist in Baltimore, MD

Liberty Medical &injury Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7034 Liberty Rd, Baltimore, MD 21207 Phone: 410-580-9191
Ms. Susan Kay Dubroff, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1708 W Rogers Ave, Baltimore, MD 21209 Phone: 410-578-5224
Rhonda G Stallings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-9405
Kimberly Ann Cardosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Kernan Dr, Baltimore, MD 21207 Phone: 410-448-6323 Fax: 410-448-6338
Joanne Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5731 Cottonworth Ave, Baltimore, MD 21209 Phone: 410-708-4763
Evangeline Lajom Grecia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E North Ave, Baltimore, MD 21202 Phone: 443-642-4208
Steven G Peters, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1420 Clarkview Rd, Baltimore, MD 21209 Phone: 443-213-0395

Kristopher Glenn Tillman, DPT - Medicare Physical Therapist in Baltimore, MD