DR. CARLA ROSE TILLERY MD - NPI 1770501280 - Internal Medicine in Pensacola, FL

Q: What is Carla Tillery's NPI number?

The NPI number for Carla Tillery is 1770501280. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Carla Tillery's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Carla Tillery was last updated on October 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Carla Rose Tillery Md NPPES

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

DR. CARLA ROSE TILLERY MD (NPI 1770501280) is an individual internal medicine provider in Pensacola, Florida, licensed in Florida (ME78611) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770501280

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. CARLA ROSE TILLERYCredential: MD

Location Address1190 E NINE MILE RDPensacola, FL 32514-1651

Mailing Address1190 E Nine Mile RdPensacola, FL 32514-1651 · (850) 474-8771 · Fax (850) 479-9180

Phone(850) 474-8771

Fax(850) 479-9180

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateOctober 13, 2010

✔ NPI 1770501280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME78611

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1190 E NINE MILE RD, Pensacola, FL 32514

Open in Google Maps ↗

Other Identifiers 3

Medicaid257288500FL

Medicare ID-Type Unspecified492164

Medicare UPINH01483

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carla Rose Tillery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.