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

Active since September 03, 2010Opted out of Medicare · through Jan 11, 2028
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: August 16, 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 has opted out of Medicare through January 11, 2028 and remains eligible to order and refer.

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
Phone(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
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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, 2028.

Opt-Out Effective DateJanuary 11, 2016
Opt-Out In Effect ThroughJanuary 11, 2028Opt-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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bessie Tillman's NPI number?

The NPI number for Bessie Tillman is 1770890295. It was assigned to this individual provider in the NPPES registry on September 3, 2010.

Where is Bessie Tillman located?

Bessie Tillman practices at 31129 Old Wagon Rd, Whitmore, CA 96096. The listed phone number is (530) 524-6601.

What is Bessie Tillman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bessie Tillman enrolled in Medicare?

No. Bessie Tillman has opted out of Medicare through January 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bessie Tillman was last updated on December 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.