DR. BESSIE JO TILLMAN M.D.
NPI 1770890295
General Practice in Whitmore, CA

Active since September 03, 2010PECOS Enrolled
31129 OLD WAGON RD, WHITMORE, CA 96096(530) 524-6601 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bessie Jo Tillman M.d. NPPES

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

DR. BESSIE JO TILLMAN M.D. (NPI 1770890295) is an individual general practice provider in Whitmore, California, licensed in California (A024317) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770890295
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. BESSIE JO TILLMANCredential: M.D.
Location Address31129 OLD WAGON RDWhitmore, CA 96096-9558
Mailing Address31129 Old Wagon RdWhitmore, CA 96096-9558 · (530) 524-6601
Sole ProprietorYes
Enumeration DateSeptember 3, 2010
Last NPPES UpdateDecember 21, 2015
NPI 1770890295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A024317
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

31129 OLD WAGON RD, Whitmore, CA 96096

Other Identifiers 1

Medicare UPINA23911CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Bessie Jo Tillman M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 11, 2016 through January 11, 2026.

Opt-Out Effective DateJanuary 11, 2016
Opt-Out In Effect ThroughJanuary 11, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770890295, enumerated as an "individual" on September 03, 2010.

The provider is located at 31129 OLD WAGON RD WHITMORE, CA 96096 and the phone number is (530) 524-6601.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.