MR. AUSTIN DALE TILLER PA-C
NPI 1235774910
Physician Assistant - Medical in Hamlin, WV

Q: What is Austin Tiller's NPI number?

The NPI number for Austin Tiller is 1235774910. It was assigned to this individual provider in the NPPES registry on November 17, 2019.

Q: What is Austin Tiller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Austin Tiller was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 17, 2019PECOS EnrolledAccepts Medicare Assignment

7400 LYNN AVE, HAMLIN, WV 25523(304) 824-5806(304) 824-5804 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2021, Sep 9, 2020, Nov 17, 2019 (3 updates tracked since 2019).

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About Mr. Austin Dale Tiller Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. AUSTIN DALE TILLER PA-C (NPI 1235774910) is an individual medical provider in Hamlin, West Virginia and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235774910

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. AUSTIN DALE TILLERCredential: PA-C

Location Address7400 LYNN AVEHamlin, WV 25523-1138

Mailing Address7400 Lynn AveHamlin, WV 25523-1138 · (304) 824-5806 · Fax (304) 824-5885

Phone(304) 824-5806

Fax(304) 824-5804

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 17, 2019

Last NPPES UpdateAugust 27, 20213 updates tracked since enumeration

NPPES CertifiedAugust 27, 2021

✔ NPI 1235774910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7400 LYNN AVE, Hamlin, WV 25523

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Austin Dale Tiller Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537587563

PECOS Enrollment IDI20200908002362

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TRENTON DREW HAYES MD

Family Medicine