Dr Peter James Tully, DC is a medicare enrolled "Chiropractor" provider in Locust Grove, Georgia. He went to Life Chiropractic College and graduated in 1998 and has 26 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Locust Grove Clinic, P.c. and his current practice location is
835 Jackson St, Locust Grove, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 898-0028.
Dr Peter James Tully is licensed to practice in Georgia (license number 6323) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1770659161.
Healthcare Provider's Profile
| Full Name | Dr Peter James Tully |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 26 Years |
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| Location | 835 Jackson St, Locust Grove, Georgia |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Peter James Tully attended and graduated from Life Chiropractic College in 1998
NPI Data:
- NPI Number: 1770659161
- Provider Enumeration Date: 11/28/2006
- Last Update Date: 09/30/2011
Medicare PECOS Information:
- PECOS PAC ID: 7810086543
- Enrollment ID: I20120409000139
Medical Identifiers
Medical identifiers for Dr Peter James Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770659161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6323 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Locust Grove Clinic, P.c. | 5395733539 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Peter James Tully allows following entities to bill medicare on his behalf.
| Provider Name | Locust Grove Clinic, P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1699964171
PECOS PAC ID: 5395733539
Enrollment ID: O20040505000665 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter James Tully is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Peter James Tully, DC
835 Jackson St,
Locust Grove, GA 30248-4137
Ph: (770) 898-0028 | Dr Peter James Tully, DC
835 Jackson St,
Locust Grove, GA 30248-4137
Ph: (770) 898-0028 |
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