Dr Charles R Lull, MD is a
Radiology - Diagnostic Radiology physician based in Savannah, Tennessee. Dr Charles R Lull is licensed to practice in Tennessee (license number MD0000007740) and his current practice location is 935 Wayne Rd, Savannah, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(504) 889-0347.
NPI number for Dr Charles R Lull is 1790849180 and his current mailing address is 155 Willow St, Savannah, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790849180.
Physician's Profile
| Full Name | Dr Charles R Lull |
|---|
| Gender | Male |
|---|
| Speciality | Radiology - Diagnostic Radiology |
|---|
| Location | 935 Wayne Rd, Savannah, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790849180
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 11/10/2009
Medical Identifiers
Medical identifiers for Dr Charles R Lull such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790849180 | NPI | - | NPPES |
| 132751 | Other | TN | FEDERAL BLACK LUNG |
| 3029154 | Other | TN | BLUE CROSS |
| 3093872 | Medicaid | TN | |
| 1640237 | Other | TN | UNITED HEALTHCARE |
| 300067251 | Other | TN | RAILROAD MEDICARE |
| 5001678 | Other | TN | MEMPHIS MANAGED CARE TLC |
| 000000118528 | Other | TN | UNISON HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | MD0000007740 (Tennessee) | Primary |
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 Charles R Lull is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Charles R Lull, MD 155 Willow St, Savannah, TN 38372-3690 Ph: (504) 889-0347 | Dr Charles R Lull, MD 935 Wayne Rd, Savannah, TN 38372-1937 Ph: (504) 889-0347 |
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