Robert E Tillman, OD in Rice Lake, WI - Medicare Optometrist Provider

Robert E Tillman, OD is a medicare enrolled "Optometrist" provider in Rice Lake, Wisconsin. His current practice location is 2304 S Main St, Rice Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 736-1700.

Robert E Tillman is licensed to practice in Wisconsin (license number 1491035) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457330276.

Contact Information

	Robert E Tillman, OD
	2304 S Main St, Rice Lake, WI 54868-2900
	(715) 736-1700
	(715) 736-1703

Map and Direction

Healthcare Provider's Profile

Full Name	Robert E Tillman
Gender	Male
Speciality	Optometrist
Location	2304 S Main St, Rice Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457330276
Provider Enumeration Date: 01/11/2006
Last Update Date: 01/04/2008

Medicare PECOS Information:

PECOS PAC ID: 3072575489
Enrollment ID: I20041028000559

Medical Identifiers

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

Identifier	Type	State	Issuer
1457330276	NPI	-	NPPES
38563500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1491035 (Wisconsin)	Primary

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. Robert E Tillman allows following entities to bill medicare on his behalf.

Provider Name	Thomas Eric Herzog Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902887508 PECOS PAC ID: 3072574813 Enrollment ID: O20041025000463

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. Robert E 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
Robert E Tillman, OD 2304 S Main St, Tillman Optometry, Rice Lake, WI 54868-2900 Ph: (715) 736-1700	Robert E Tillman, OD 2304 S Main St, Rice Lake, WI 54868-2900 Ph: (715) 736-1700

Reviews and Comments

Optometrist in Rice Lake, WI

Dr. Todd C Swanson, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2900 S Wisconsin Ave, Rice Lake, WI 54868 Phone: 608-341-9636
Lake Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2900 S Main St, Rice Lake, WI 54868 Phone: 715-234-1511 Fax: 715-434-1513
Northview Eye Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1801 W Knapp St Ste 3, Rice Lake, WI 54868 Phone: 715-234-3113 Fax: 715-234-2339
Kevin E Jacobson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1801 W Knapp St, Ste 3, Rice Lake, WI 54868 Phone: 715-234-3113 Fax: 715-234-2339
Gabrielle Carmen Chan Smiley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 W Knapp St Ste 3, Rice Lake, WI 54868 Phone: 715-234-3113
Dr. Brad Harold Ewald, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2900 S Main St, Rice Lake, WI 54868 Phone: 715-234-1511 Fax: 715-434-1513

Robert E Tillman, OD - Medicare Optometrist in Rice Lake, WI