Kimberly Lynn Tiller, PA-C - Medicare Physician Assistant in Edwardsville, IL

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Kimberly Lynn Tiller, PA-C is a medicare enrolled "Physician Assistant" in Edwardsville, Illinois. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is 2122 Troy Rd Ste 130, Edwardsville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 800-4500.

Kimberly Lynn Tiller is licensed to practice in Illinois (license number 085.006897) 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 1467930883.

Contact Information

Kimberly Lynn Tiller, PA-C
2122 Troy Rd Ste 130,
Edwardsville, IL 62025-2540
(618) 800-4500
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Lynn Tiller
GenderFemale
SpecialityPhysician Assistant
Experience8 Years
Location2122 Troy Rd Ste 130, Edwardsville, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Lynn Tiller graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1467930883
  • Provider Enumeration Date: 07/30/2018
  • Last Update Date: 08/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567703853
  • Enrollment ID: I20190415002402

Medical Identifiers

Medical identifiers for Kimberly Lynn Tiller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467930883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085.006897 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Heights Medical Group Sc6800784083448

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. Kimberly Lynn Tiller allows following entities to bill medicare on her behalf.
Entity NameFairview Heights Medical Group SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650
Entity NameSoutheastern Emergency Services of Memphis PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164454450
PECOS PAC ID: 8921912767
Enrollment ID: O20150428000000
Entity NameEmergency Services Midwest SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174024806
PECOS PAC ID: 2769746056
Enrollment ID: O20180515000619
Entity NameMidwest Emergency Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710647615
PECOS PAC ID: 8022401256
Enrollment ID: O20220210000357
Entity NameMidwest Inpatient Anderson Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821758608
PECOS PAC ID: 3072908474
Enrollment ID: O20220322002045

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. Kimberly Lynn 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 AddressPractice Location Address
Kimberly Lynn Tiller, PA-C
2122 Troy Rd Ste 130,
Edwardsville, IL 62025-2540

Ph: (618) 800-4500		Kimberly Lynn Tiller, PA-C
2122 Troy Rd Ste 130,
Edwardsville, IL 62025-2540

Ph: (618) 800-4500

Reviews and Comments


Physician Assistant Nurses in Edwardsville, IL

Di'ara Woods, PA-C
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Practice Location: 3 Club Centre Ct Ste B1, Edwardsville, IL 62025
Phone: 618-699-4402    
Marion Elsa Gabou Dessalines, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025
Phone: 618-800-4595    Fax: 618-800-4501
Mrs. Courtney M Mcfarlin, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2122 Troy Rd Ste 130, Edwardsville, IL 62025
Phone: 618-800-4595    Fax: 618-800-4501

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.