Dr Brian Tullis Andrew, MD is a medicare enrolled "Military Health Care Provider" physician in San Diego, California. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 2016 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. His current practice location is
34800 Bob Wilson Dr, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(619) 532-8752.
Dr Brian Tullis Andrew is licensed to practice in NU (license number ) 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 1194174839.
Physician's Profile
| Full Name | Dr Brian Tullis Andrew |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 10 Years |
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| Location | 34800 Bob Wilson Dr, San Diego, California |
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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. |
Medical Education and Training:
- Dr Brian Tullis Andrew attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 2016
NPI Data:
- NPI Number: 1194174839
- Provider Enumeration Date: 06/03/2016
- Last Update Date: 08/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 0749755999
- Enrollment ID: I20260406003288
Medical Identifiers
Medical identifiers for Dr Brian Tullis Andrew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194174839 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A193043 (California) | Secondary |
| 171000000X | Military Health Care Provider | (NU) | Primary |
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 Brian Tullis Andrew allows following entities to bill medicare on his behalf.
| Entity Name | Simonmed Imaging Florida LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160512001501 |
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| Entity Name | Health Diagnostics of California a Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000005 |
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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 Brian Tullis Andrew 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 |
Dr Brian Tullis Andrew, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (703) 209-6837 | Dr Brian Tullis Andrew, MD 34800 Bob Wilson Dr, San Diego, CA 92134-1098 Ph: (619) 532-8752 |
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