Dr Charles P Tillman Jr, OD is a medicare enrolled "Optometrist" provider in Eupora, Mississippi. He went to Southern College Of Optometry and graduated in 1983 and has 41 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Clinic Of Eupora, Inc and his current practice location is
3126 E Roane Ave, Eupora, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 258-2020.
Dr Charles P Tillman Jr is licensed to practice in Mississippi (license number 519) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275630626.
Healthcare Provider's Profile
| Full Name | Dr Charles P Tillman Jr |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 41 Years |
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| Location | 3126 E Roane Ave, Eupora, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles P Tillman Jr attended and graduated from Southern College Of Optometry in 1983
NPI Data:
- NPI Number: 1275630626
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 05/27/2008
Medicare PECOS Information:
- PECOS PAC ID: 6204905847
- Enrollment ID: I20080521000902
Medical Identifiers
Medical identifiers for Dr Charles P Tillman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275630626 | NPI | - | NPPES |
| 0087039 | Medicaid | MS | |
| 1772968 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 519 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eye Clinic Of Eupora, Inc | 9931278561 | 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. Dr Charles P Tillman Jr allows following entities to bill medicare on his behalf.
| Provider Name | Eye Clinic Of Eupora, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033240825
PECOS PAC ID: 9931278561
Enrollment ID: O20080521000785 |
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| Provider Name | Eye Clinic Of West Point, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396879912
PECOS PAC ID: 6204990492
Enrollment ID: O20090203000459 |
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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. Dr Charles P Tillman Jr 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 |
|---|
Dr Charles P Tillman Jr, OD
Po Box 225, 3126 E Roane Ave,
Eupora, MS 39744-0225
Ph: (662) 258-2020 | Dr Charles P Tillman Jr, OD
3126 E Roane Ave,
Eupora, MS 39744-2638
Ph: (662) 258-2020 |
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