Abigail Tillman, MD in Fayetteville, NY - Medicare Family Practice

Abigail Tillman, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, New York. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Select Pt, Ot And Slp Rehabilitation Ny, Pllc, St Josephs Medical Pc and her current practice location is 4000 Medical Center Dr Suite 101de, Fayetteville, New York. You can reach out to her office (for appointments etc.) via phone at (315) 637-7878.

Abigail Tillman is licensed to practice in New York (license number 305958) 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 1326488347.

Contact Information

	Abigail Tillman, MD
	4000 Medical Center Dr Suite 101de, Fayetteville, NY 13066-6600
	(315) 637-7878
	(315) 637-7870

Map and Direction

Physician's Profile

Full Name	Abigail Tillman
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	4000 Medical Center Dr Suite 101de, Fayetteville, New York
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:

Abigail Tillman graduated from medical school in 2013

NPI Data:

NPI Number: 1326488347
Provider Enumeration Date: 07/05/2013
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3577706431
Enrollment ID: I20210204000544

Medical Identifiers

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

Identifier	Type	State	Issuer
1326488347	NPI	-	NPPES
1326488347	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	312752 (Louisiana)	Secondary
207Q00000X	Family Medicine	56540 (Connecticut)	Secondary
207Q00000X	Family Medicine	305958 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nascentia Health At Home	Syracuse, NY	Home health agency
St Joseph's Hospital Health Center	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Pt, Ot And Slp Rehabilitation Ny, Pllc	3870986656	46
St Josephs Medical Pc	4688855844	291

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. Abigail Tillman allows following entities to bill medicare on her behalf.

Entity Name	Syracuse Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497796353 PECOS PAC ID: 0143121327 Enrollment ID: O20040120000443

Entity Name	St Josephs Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744

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. Abigail 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
Abigail Tillman, MD 301 Prospect Ave, Syracuse, NY 13203-1807 Ph: (315) 744-1478	Abigail Tillman, MD 4000 Medical Center Dr Suite 101de, Fayetteville, NY 13066-6600 Ph: (315) 637-7878

Reviews and Comments

Family Medicine Doctors in Fayetteville, NY

Vijaya Seepana, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878
Dr. Linda Nancy Robinson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7107 Thorntree Hill Dr, Fayetteville, NY 13066 Phone: 315-637-1201
Mark William Guelzow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4101 Medical Center Dr Ste 1c, Fayetteville, NY 13066 Phone: 315-637-7878
Deann Lynn Cummings, MD. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4104 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123
Allan M Birnbaum, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4101 Medical Center Dr, Fayetteville, NY 13066 Phone: 315-637-7878 Fax: 315-637-7870
Roshan Ghimire, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr, Suite 104, Fayetteville, NY 13066 Phone: 315-637-7878
Austin Tsai, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4000 Medical Center Dr Suite 104, Fayetteville, NY 13066 Phone: 315-663-0059 Fax: 315-663-0123

Abigail Tillman, MD - Medicare Family Practice in Fayetteville, NY