Ricardo D Tillery (NPI# 1528380623, PAC ID# 7214294974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1528380623 |
| PAC ID by PECOS | 7214294974 |
| Professional Enrollment ID | I20171205002052 |
| Full Name | Ricardo D Tillery |
| Organization Legal Name | INNOVATIVE BEHAVIORAL SOLUTIONS |
| Address |
3721 W Michigan Ave Suite 200 Lansing MI 48917-3600 |
| Phone Number | 5175156176 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2365709987 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3721 W Michigan Ave, Suite 200, Lansing, MI 48917-3600 | 5175156176 | INNOVATIVE BEHAVIORAL SOLUTIONS |
| Organization Legal Name | INNOVATIVE BEHAVIORAL SOLUTIONS |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jewel Eva M Mcjennet | Clinical Social Worker | Innovative Behavioral Solutions | 3721 W Michigan Ave, Suite 200, Lansing, MI 48917-3600 |
| Street Address |
3721 W MICHIGAN AVE SUITE 200 |
| City | LANSING |
| State | MI |
| Zip | 48917-3600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Candace L Buckner | Clinical Social Worker | 3721 W Michigan Ave, Suite 200, Lansing, MI 48917-3600 | |
| Jewel Eva M Mcjennet | Clinical Social Worker | Innovative Behavioral Solutions | 3721 W Michigan Ave, Suite 200, Lansing, MI 48917-3600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jyothsna Yalavarthi | Internal Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Kathleen M Isley | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Madelon K Krissoff | Internal Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Stephanie M Horanic | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Francina N Chinodakufa | Hospitalist | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Heather L Wright | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Saleh F Dyke | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Jenelle B Kalvoda | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| James R Macbride | Family Medicine | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Elizabeth Anne Smith | Nurse Practitioner | Michigan Post Acute Medical Services 1 PC | 7323 Delta Commerce Dr, Lansing, MI 48917-1069 |
| Find all physicians in zip 48917 | |||
| City | LANSING |
| Zip Code | 48917 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LANSING + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Ricardo D Tillery.
| 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.