Tracy Tiller, MD is a medicare enrolled "Pediatrics" physician in Harrison, Ohio. Her current practice location is
10400 New Haven Rd, Harrison, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 367-5888.
Tracy Tiller is licensed to practice in Ohio (license number 35052697T) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013952142.
Physician's Profile
| Full Name | Tracy Tiller |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 10400 New Haven Rd, Harrison, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013952142
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 03/16/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789739822
- Enrollment ID: I20090826000224
Medical Identifiers
Medical identifiers for Tracy Tiller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013952142 | NPI | - | NPPES |
| 0597911 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 35052697T (Ohio) | Primary |
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. Tracy Tiller allows following entities to bill medicare on her behalf.
| Entity Name | Children's Hospital Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609915784
PECOS PAC ID: 8426955733
Enrollment ID: O20031216000035 |
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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. Tracy Tiller 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 |
|---|
Tracy Tiller, MD
2415 Auburn Ave,
Cincinnati, OH 45219-2701
Ph: (513) 221-4949 | Tracy Tiller, MD
10400 New Haven Rd,
Harrison, OH 45030-1657
Ph: (513) 367-5888 |
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