Ronald Clyde Tillman, MD is a
Family Medicine physician based in Alamo, Tennessee. Ronald Clyde Tillman is licensed to practice in Tennessee (license number MD0000012921) and his current practice location is 157 N Bells St, Alamo, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(731) 696-5551.
NPI number for Ronald Clyde Tillman is 1578507984 and his current mailing address is 157 N Bells St, Alamo, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578507984.
Physician's Profile
| Full Name | Ronald Clyde Tillman |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 157 N Bells St, Alamo, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578507984
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ronald Clyde Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578507984 | NPI | - | NPPES |
| 3728156 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD0000012921 (Tennessee) | Primary |
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. Ronald Clyde Tillman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ronald Clyde Tillman, MD
157 N Bells St,
Alamo, TN 38001-1767
Ph: (731) 696-5551 | Ronald Clyde Tillman, MD
157 N Bells St,
Alamo, TN 38001-1767
Ph: (731) 696-5551 |
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