Charles O Tillman Iii, PT is a medicare enrolled "Physical Therapist" provider in Pawnee, Oklahoma. His current practice location is
1201 Heritage Cir, Pawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 762-6653.
Charles O Tillman Iii is licensed to practice in Oklahoma (license number 3469) 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 1336124809.
Healthcare Provider's Profile
| Full Name | Charles O Tillman Iii |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 1201 Heritage Cir, Pawnee, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1336124809
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183685274
- Enrollment ID: I20041021000985
Medical Identifiers
Medical identifiers for Charles O Tillman Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336124809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 3469 (Oklahoma) | 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. Charles O Tillman Iii allows following entities to bill medicare on his behalf.
| Provider Name | Pawnee Indian Health Center |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1629174081
PECOS PAC ID: 2769470160
Enrollment ID: O20040504001225 |
|---|
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. Charles O Tillman Iii 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 |
|---|
Charles O Tillman Iii, PT
5017 E Lakeview Rd,
Stillwater, OK 74075-3022
Ph: (405) 624-2712 | Charles O Tillman Iii, PT
1201 Heritage Cir,
Pawnee, OK 74058-3744
Ph: (918) 762-6653 |
Reviews and Comments