| Ronald D Tiller, PA-C | |
|
640 E 700 S, Suite 203, St George, UT 84770-4023 | |
| (435) 574-9777 | |
| Not Available |
| Full Name | Ronald D Tiller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 640 E 700 S, St George, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881630572 | NPI | - | NPPES |
| 72328878 | Medicaid | NM | |
| 216611801 | Medicaid | TX | |
| 8N9977 | Other | TX | TEXAS BLUE SHIELD NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02801 (Texas) | Primary |
| Entity Name | Questcare Medical Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912059247 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
| Entity Name | Emergency Services of Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932131 PECOS PAC ID: 7517289291 Enrollment ID: O20141208002099 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald D Tiller, PA-C 5201 Hunters Glenn Ct, El Paso, TX 79932-3110 Ph: (915) 525-2860 | Ronald D Tiller, PA-C 640 E 700 S, Suite 203, St George, UT 84770-4023 Ph: (435) 574-9777 |
Nicholas Paul Wittwer, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-251-0400 Fax: 435-251-0401 |
Rachel Renae Rudd Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr Ste 3100, St George, UT 84790 Phone: 435-251-2740 |
Skyler Vance Buck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1380 E Medical Center Dr Ste 1500, St George, UT 84790 Phone: 435-251-2500 Fax: 435-251-2525 |
Malcolm T Maxwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382 |
Jake Fawcett Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2351 S River Rd Ste 5, St George, UT 84790 Phone: 855-871-0841 |
Armadeus Davidson, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1584 W 1370 N, St George, UT 84770 Phone: 360-620-3233 |
Wolfgang Schulthess, PA-S Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2822 W Silver Cholla Ln, St George, UT 84770 Phone: 760-669-7462 |