Elbert Stinson Tillerson, MD is a medicare enrolled "Hospitalist" physician in Jefferson City, Missouri. He went to Medical University Of South Carolina College Of Medicine and graduated in 2001 and has 21 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Capital Region Medical Center, Hospital Medicine Services Of Tennessee Pc, Landmark Hospital Of Columbia, Llc and his current practice location is
1125 Madison St., Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 635-7651.
Elbert Stinson Tillerson is licensed to practice in Missouri (license number 2011041481) 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 1003872714.
Physician's Profile
Full Name | Elbert Stinson Tillerson |
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Gender | Male |
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Speciality | Hospitalist |
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Experience | 21 Years |
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Location | 1125 Madison St., Jefferson City, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Elbert Stinson Tillerson attended and graduated from Medical University Of South Carolina College Of Medicine in 2001
NPI Data:
- NPI Number: 1003872714
- Provider Enumeration Date: 04/21/2006
- Last Update Date: 01/15/2013
Medicare PECOS Information:
- PECOS PAC ID: 8527089911
- Enrollment ID: I20120326000015
Medical Identifiers
Medical identifiers for Elbert Stinson Tillerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003872714 | NPI | - | NPPES |
1003872714 | Medicaid | MO | |
23919 | Other | SC | 1 |
054133 | Other | GA | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 2011041481 (Missouri) | Secondary |
208M00000X | Hospitalist | 2011041481 (Missouri) | Primary |
Hospital Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Capital Region Medical Center | 4688573686 | 167 |
Hospital Medicine Services Of Tennessee Pc | 9234432881 | 124 |
Landmark Hospital Of Columbia, Llc | 2062568025 | 11 |
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. Elbert Stinson Tillerson allows following entities to bill medicare on his behalf.
Entity Name | Capital Region Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
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Entity Name | Landmark Hospital Of Columbia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972732378 PECOS PAC ID: 2062568025 Enrollment ID: O20100422000128 |
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Entity Name | Hospital Medicine Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160531002246 |
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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. Elbert Stinson Tillerson 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 |
Elbert Stinson Tillerson, MD 1125 Madison St., Jefferson City, MO 65102-1128 Ph: (573) 635-7651 | Elbert Stinson Tillerson, MD 1125 Madison St., Jefferson City, MO 65102-1128 Ph: (573) 635-7651 |
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