Dr David Michael Tully-smith, MD - Medicare General Practice in San Rafael, CA

Dr David Michael Tully-smith, MD is a medicare enrolled "Family Medicine" physician in San Rafael, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1974 and has 50 years of diverse experience with area of expertise as General Practice. His current practice location is 711 D St, Suite 111, San Rafael, California. You can reach out to his office (for appointments etc.) via phone at (415) 453-3030.

Dr David Michael Tully-smith is licensed to practice in California (license number G30229) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598890287.

Contact Information

Dr David Michael Tully-smith, MD
711 D St, Suite 111,
San Rafael, CA 94901-3707
(415) 453-3030
Not Available

Map and Direction




Physician's Profile

Full NameDr David Michael Tully-smith
GenderMale
SpecialityGeneral Practice
Experience50 Years
Location711 D St, San Rafael, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr David Michael Tully-smith attended and graduated from University Of California, San Francisco School Of Medicine in 1974
  NPI Data:
  • NPI Number: 1598890287
  • Provider Enumeration Date: 02/22/2007
  • Last Update Date: 11/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7012076854
  • Enrollment ID: I20081107000355

Medical Identifiers

Medical identifiers for Dr David Michael Tully-smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598890287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G30229 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novato Community HospitalNovato, CAHospital

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 David Michael Tully-smith allows following entities to bill medicare on his behalf.
Entity NameDavid M Tully Smith M D A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780728246
PECOS PAC ID: 3375602121
Enrollment ID: O20081107000362

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 David Michael Tully-smith 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 AddressPractice Location Address
Dr David Michael Tully-smith, MD
Po Box 3137,
Rohnert Park, CA 94927-3137

Ph: () -
Dr David Michael Tully-smith, MD
711 D St, Suite 111,
San Rafael, CA 94901-3707

Ph: (415) 453-3030

Reviews and Comments


Family Medicine Doctors in San Rafael, CA

Dr. Ann Hathaway, MD
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Phone: 415-499-0966    Fax: 415-446-0118
Peter Allen Novota, M.D.
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Practice Location: 3110 Kerner Blvd, San Rafael, CA 94901
Phone: 415-448-1500    Fax: 415-526-8570
Daniel Aaron Smith, MD
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Phone: 415-444-4873    
Michael A Frumkin, MD
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Practice Location: 30 Newport Way, San Rafael, CA 94901
Phone: 315-415-6865    
Mrs. Meenal Sunit Lohtia, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 4000 Civic Center Drive, Suite 200, San Rafael, CA 94903
Phone: 415-492-3333    Fax: 415-492-3425
Dr. Charles C. Palmigiano, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 920 Northgate Dr, Suite 6, San Rafael, CA 94903
Phone: 415-479-1022    Fax: 415-479-5305
Jay F. Fairborn, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 99 Montecillo Rd, San Rafael, CA 94903
Phone: 415-444-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.