Charles R Tilley Jr. (NPI# 1467502286, PAC ID# 1557363199) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1467502286 |
| PAC ID by PECOS | 1557363199 |
| Professional Enrollment ID | I20070209000497 |
| Full Name | Charles R Tilley Jr. |
| Organization Legal Name | PLAINS AREA MENTAL HEALTH, INC. |
| Address |
900 N 2nd St A Cherokee IA 51012-1373 |
| Phone Number | 7122252575 |
| Gender | M |
| Credential | PA |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5395649743 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161368 | FLOYD VALLEY HOSPITAL |
| 160153 | MERCY MEDICAL CENTER-SIOUX CITY |
| Address | Phone | Organization |
|---|---|---|
| 900 N 2nd St A, Cherokee, IA 51012-1373 | 7122252575 | PLAINS AREA MENTAL HEALTH, INC. |
| 20 N 14th St, Denison, IA 51442-2026 | 7122633172 | PLAINS AREA MENTAL HEALTH, INC. |
| 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 | 7125464624 | PLAINS AREA MENTAL HEALTH, INC. |
| 801 5th St, Sioux City, IA 51101-1326 | MERCY MEDICAL SERVICES | |
| 801 5th St, Suite 5428, Sioux City, IA 51101-1326 | 7122792950 | MERCY MEDICAL SERVICES |
| Organization Legal Name | PLAINS AREA MENTAL HEALTH, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Windy G Russ | Clinical Social Worker | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Amanda J Eason | Clinical Social Worker | Plains Area Mental Health, Inc. | 515 Hwy 39, Denison, IA 51442-2701 |
| Amy K Hull | Clinical Social Worker | Plains Area Mental Health, Inc. | 180 10th Ave Se, Le Mars, IA 51031-2557 |
| Rita M Burley | Clinical Social Worker | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Kendra R Walker | Nurse Practitioner | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Jessica L Hudspeth | Nurse Practitioner | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Mary Milder | Clinical Social Worker | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Laura Konkle-king | Clinical Social Worker | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Anthony T Larson | Psychologist, Clinical | Plains Area Mental Health, Inc. | 900 N 2nd St A, Cherokee, IA 51012-1373 |
| Margaret J Mckeon | Clinical Social Worker | Plains Area Mental Health, Inc. | 180 10th St Se, Suite 201, Le Mars, IA 51031-2557 |
| Street Address |
900 N 2ND ST A |
| City | CHEROKEE |
| State | IA |
| Zip | 51012-1373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony T Larson | Psychologist, Clinical | Plains Area Mental Health, Inc. | 900 N 2nd St A, Cherokee, IA 51012-1373 |
| Laurie N Warren | Physician Assistant | Plains Area Mental Health, Inc. | 900 N 2nd St A, Cherokee, IA 51012-1373 |
| Deborah S Haase | Clinical Social Worker | Plains Area Mental Health, Inc. | 900 N 2nd St A, Cherokee, IA 51012-1373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Inderjit S Chabra | Dermatology | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Stephen Holmes | Family Medicine | Sioux Valley Memorial Hospital Association | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Amy L Dietrich | Physician Assistant | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Seth A Winterton | Family Medicine | Sioux Valley Memorial Hospital Association | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Linda Grauer | Certified Registered Nurse Anesthetist (crna) | Sioux Valley Memorial Hospital Association | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Rebecca Jean Mogensen-kruger | Nurse Practitioner | Sioux Valley Memorial Hospital Association | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Chase W Beiermann | Physician Assistant | Cnos PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Emily Kruse | Physician Assistant | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Lori Ann Drea | Physician Assistant | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Michelle L Daffer | Dermatology | Midlands Clinic PC | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 |
| Find all physicians in zip 51012 | |||
| City | CHEROKEE |
| Zip Code | 51012 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CHEROKEE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Charles R Tilley Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.