Kelly Tillman, in Statesboro, GA - Medicare Nurse Practitioner

Kelly Tillman, is a medicare enrolled "Nurse Practitioner - Family" in Statesboro, Georgia. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Care Center, Pc and her current practice location is 23702 Hwy 80 E, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 489-4090.

Kelly Tillman is licensed to practice in Georgia (license number RN161574) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518337278.

Contact Information

	Kelly Tillman,
	23702 Hwy 80 E, Statesboro, GA 30461-0845
	(912) 489-4090
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Tillman
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	23702 Hwy 80 E, Statesboro, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Tillman graduated from nursing school in 2015

NPI Data:

NPI Number: 1518337278
Provider Enumeration Date: 10/06/2015
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 5890099089
Enrollment ID: I20160209001133

Medical Identifiers

Medical identifiers for Kelly Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518337278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN161574 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
East Georgia Regional Medical Center	Statesboro, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Health Care Center, Pc	4082601299	3

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. Kelly Tillman allows following entities to bill medicare on her behalf.

Entity Name	Georgia Emergency Physician Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285685156 PECOS PAC ID: 9032010764 Enrollment ID: O20040116000031

Entity Name	Family Health Care Center, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205855988 PECOS PAC ID: 4082601299 Enrollment ID: O20040429000292

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. Kelly Tillman 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
Kelly Tillman, 4700 Waters Ave, Savannah, GA 31404-6220 Ph: () -	Kelly Tillman, 23702 Hwy 80 E, Statesboro, GA 30461-0845 Ph: (912) 489-4090

Reviews and Comments

Nurse Practitioner Nurses in Statesboro, GA

Mrs. Kacy H. Nesmith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1140 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2273
Tina L. Hathaway, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-681-6944 Fax: 912-681-8744
Mrs. Qian Tang, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444
Jennifer Reddish Coulter, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1094 Bermuda Run, Statesboro, GA 30458 Phone: 912-681-3111
Mrs. Shelby Jordan Palmerton Graham, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 W Altman St, Statesboro, GA 30458 Phone: 912-764-0737
Ms. Connie June Barnett, RN, MSN, APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23702 Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090
Ngoc Nu Banh, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 800-301-6254 Fax: 866-301-3007

Kelly Tillman, - Medicare Nurse Practitioner in Statesboro, GA