Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC in Conyers, GA

Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Conyers, Georgia. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vitality Ageless Center Llc and her current practice location is 3230 Old Church Cv Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 221-8855.

Ms Candace Marvenia Tillman is licensed to practice in Georgia (license number RN142932) 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 1871865113.

Contact Information

	Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC
	3230 Old Church Cv Ne, Conyers, GA 30012-2647
	(678) 221-8855
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Candace Marvenia Tillman
Gender	Female
Speciality	Nurse Practitioner
Experience	20 Years
Location	3230 Old Church Cv Ne, Conyers, 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:

Ms Candace Marvenia Tillman graduated from nursing school in 2005

NPI Data:

NPI Number: 1871865113
Provider Enumeration Date: 02/02/2012
Last Update Date: 09/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5597901470
Enrollment ID: I20130419000241

Medical Identifiers

Medical identifiers for Ms Candace Marvenia Tillman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871865113	NPI	-	NPPES
RN142932	Other	GA	STATE OF GEORGIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	RN142932 (Georgia)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	RN142932 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vitality Ageless Center Llc	6800135872	7

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. Ms Candace Marvenia Tillman allows following entities to bill medicare on her behalf.

Entity Name	Vitality Ageless Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730657271 PECOS PAC ID: 6800135872 Enrollment ID: O20190325002304

Entity Name	Care At Home Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699552836 PECOS PAC ID: 5092164533 Enrollment ID: O20231222000464

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. Ms Candace Marvenia 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
Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC 3230 Old Church Cv Ne, Conyers, GA 30012-2647 Ph: (678) 221-8855	Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC 3230 Old Church Cv Ne, Conyers, GA 30012-2647 Ph: (678) 221-8855

Reviews and Comments

Nurse Practitioner Nurses in Conyers, GA

Turquoise Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094 Phone: 770-285-6699 Fax: 770-285-6510
Assumpta Ogbedeagu, MS-FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013 Phone: 303-214-8017
Krystal Gail Dennis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Mill Creek Ct, Conyers, GA 30012 Phone: 470-998-5060
Meetali Crowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012 Phone: 678-369-6934
Ms. Judith T Chabot, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012 Phone: 678-413-2026 Fax: 678-413-2030
Nathalie G Bailey, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013 Phone: 404-994-4662
Elizabeth Mitchell, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012 Phone: 770-922-4024

Ms Candace Marvenia Tillman, RNC, MS, WHNP-BC - Medicare Nurse Practitioner in Conyers, GA