David J Tilstra, MD - Medicare Pediatric Medicine in Saint Cloud, MN

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David J Tilstra, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Saint Cloud, Minnesota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1988 and has 38 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice St Cloud Hospital, Centracare Clinic and his current practice location is 1900 Centracare Cir, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 654-3630.

David J Tilstra is licensed to practice in Minnesota (license number 37920) 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 1316928351.

Contact Information

David J Tilstra, MD
1900 Centracare Cir,
Saint Cloud, MN 56303-5000
(320) 654-3630
(320) 654-3657

Map and Direction




Physician's Profile

Full NameDavid J Tilstra
GenderMale
SpecialityPediatric Medicine
Experience38 Years
Location1900 Centracare Cir, Saint Cloud, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David J Tilstra attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1988
  NPI Data:
  • NPI Number: 1316928351
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 12/13/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 3971686452
  • Enrollment ID: I20100302000134

Medical Identifiers

Medical identifiers for David J Tilstra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316928351NPI-NPPES
1008055OtherPREFERRED ONE
763003OtherARAZ GROUP AMERICAS PPO
51A44TIOtherBLUE CROSS BLUE SHIELD
1200086OtherMEDICA HEALTH PLANS
2089340OtherFIRST HEALTH PLAN
7713350OtherSOUTH DAKOTA MA
HP25528OtherHEALTH PARTNERS
074814500OtherMEDICAL ASSISTANCE
110417OtherUCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207SG0201XMedical Genetics - Clinical Genetics (m.d.) 37920 (Minnesota)Primary
208000000XPediatrics 37920 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare - St. Cloud HospitalSaint cloud, MNHospital
Centracare- Rice Memorial HospitalWillmar, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Cloud Hospital4880594779215
Centracare Clinic2466363395800

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. David J Tilstra allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134

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. David J Tilstra 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
David J Tilstra, MD
1900 Centracare Cir,
Saint Cloud, MN 56303-5000

Ph: (320) 654-3630		David J Tilstra, MD
1900 Centracare Cir,
Saint Cloud, MN 56303-5000

Ph: (320) 654-3630

Reviews and Comments



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.