| Dr Charles H Tillman Jr, MD | |
|
720 Medical Park Dr, Mexico, MO 65265-3726 | |
| (573) 581-3240 | |
| (573) 581-7493 |
| Full Name | Dr Charles H Tillman Jr |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 44 Years |
| Location | 720 Medical Park Dr, Mexico, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891781225 | NPI | - | NPPES |
| 202409801 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 36412 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| University Of Missouri Health Care | Columbia, MO | Hospital |
| Pike County Memorial Hospital | Louisiana, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chas Physician Services Llc | 7810038064 | 22 |
| Entity Name | Chas Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629301163 PECOS PAC ID: 7810038064 Enrollment ID: O20100109000194 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles H Tillman Jr, MD 201 E Monroe St, Mexico, MO 65265-2852 Ph: (573) 581-3240 | Dr Charles H Tillman Jr, MD 720 Medical Park Dr, Mexico, MO 65265-3726 Ph: (573) 581-3240 |
Michael Lee Quinlan, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Shahid Waheed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Dr. Peggy Wanner-barjenbruch, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Dr. Glenn L Gordon, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 714 Medical Park Dr, Mexico, MO 65265 Phone: 573-590-1553 Fax: 877-958-7717 | |
Norvin Eugene Thomas, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 | |
Matthew Patrick Griffin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Medical Park Dr, Mexico, MO 65265 Phone: 573-581-8500 Fax: 573-581-5397 |