Eric Wade Tillotson, - Medicare Family Practice in Tupelo, MS

Eric Wade Tillotson, is a medicare enrolled "Family Medicine" physician in Tupelo, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Summit Physician Group Llp and his current practice location is 1665 South Green Street, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-2189.

Eric Wade Tillotson is licensed to practice in Mississippi (license number 26941) 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 1316300080.

Contact Information

Eric Wade Tillotson,
1665 South Green Street,
Tupelo, MS 38804
(662) 377-2189
(662) 377-2263



Physician's Profile

Full NameEric Wade Tillotson
GenderMale
SpecialityFamily Practice
Experience8 Years
Location1665 South Green Street, Tupelo, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eric Wade Tillotson attended and graduated from University Of Mississippi School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1316300080
  • Provider Enumeration Date: 03/31/2016
  • Last Update Date: 07/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6305107772
  • Enrollment ID: I20201021001397

Medical Identifiers

Medical identifiers for Eric Wade Tillotson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316300080NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 26941 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
D C H Regional Medical CenterTuscaloosa, ALHospital
Marion Regional Medical CenterHamilton, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Physician Group Llp00425649574

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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. Eric Wade Tillotson allows following entities to bill medicare on his behalf.
Entity NameMarion Regional Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932160082
PECOS PAC ID: 1658282322
Enrollment ID: O20031124000559

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Entity NamePinnacle Physician Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609008176
PECOS PAC ID: 1254486699
Enrollment ID: O20090908000472

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Entity NameSummit Physician Group Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104343581
PECOS PAC ID: 0042564957
Enrollment ID: O20181113001062

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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. Eric Wade Tillotson 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 AddressPractice Location Address
Eric Wade Tillotson,
1665 South Green Street,
Tupelo, MS 38804

Ph: (662) 377-2189
Eric Wade Tillotson,
1665 South Green Street,
Tupelo, MS 38804

Ph: (662) 377-2189

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Family Medicine Doctors in Tupelo, MS

Mr. Aaron Ashley Amos, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1020 N Gloster St # 123, Tupelo, MS 38804
Phone: 407-508-8618    
Terry Ray Perrine, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1665 S Green St, Tupelo, MS 38804
Phone: 662-377-2189    Fax: 662-377-2263
Joannie Franklin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 65 S Thomas St, Tupelo, MS 38801
Phone: 662-844-9376    Fax: 662-844-4326
John Edward Hill, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1665 S Green St, Tupelo, MS 38804
Phone: 662-377-2189    Fax: 662-377-2263
Dr. Benjamin Gilliland, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Cliff Gookin Blvd, Tupelo, MS 38801
Phone: 662-407-2528    
Raines Atherton Chaffin, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 125 County Road 1698, Tupelo, MS 33804
Phone: 501-454-1960    
Dr. Ashley Wayne Harris, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 845 S Madison St, Tupelo, MS 38801
Phone: 662-377-5930    

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