John Owen Tully, MD in Brooklyn, OH - Medicare Gastroenterology

John Owen Tully, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Brooklyn, Ohio. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2005 and has 19 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice North Shore Gastroenterology, Inc. and his current practice location is 7580 Northcliff Ave Ste 1000, Brooklyn, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 808-1212.

John Owen Tully is licensed to practice in Ohio (license number 35.097547) 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 1265619993.

Contact Information

	John Owen Tully, MD
	7580 Northcliff Ave Ste 1000, Brooklyn, OH 44144-3271
	(440) 808-1212
	(440) 808-0321

Map and Direction

Physician's Profile

Full Name	John Owen Tully
Gender	Male
Speciality	Gastroenterology
Experience	19 Years
Location	7580 Northcliff Ave Ste 1000, Brooklyn, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Owen Tully attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2005

NPI Data:

NPI Number: 1265619993
Provider Enumeration Date: 01/24/2008
Last Update Date: 01/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6305993577
Enrollment ID: I20110801000260

Medical Identifiers

Medical identifiers for John Owen Tully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265619993	NPI	-	NPPES
0050898	Medicaid	OH
P00992476	Other	OH	MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	35.097547 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fairview Hospital	Cleveland, OH	Hospital
Cleveland Clinic Avon Hospital	Avon, OH	Hospital
Uh St John Medical Center	Westlake, OH	Hospital
Southwest General Health Center	Middleburg heights, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore Gastroenterology, Inc.	3072409382	24

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. John Owen Tully allows following entities to bill medicare on his behalf.

Entity Name	North Shore Gastroenterology, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932121050 PECOS PAC ID: 3072409382 Enrollment ID: O20040224000970

Entity Name	North Shore Pathology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245591965 PECOS PAC ID: 8527224567 Enrollment ID: O20230919002355

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. John Owen 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
John Owen Tully, MD 850 Columbia Rd, Ste 200, Westlake, OH 44145-7215 Ph: (216) 767-5664	John Owen Tully, MD 7580 Northcliff Ave Ste 1000, Brooklyn, OH 44144-3271 Ph: (440) 808-1212

Reviews and Comments

Internal Medicine Doctors in Brooklyn, OH

Dr. Pamela Kay Hilton, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7575 Northcliff Ave, Suite 307, Brooklyn, OH 44144 Phone: 216-749-8277 Fax: 216-749-8273
Julius Bruce Resnik, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7575 Northcliff Ave, Suite 200, Brooklyn, OH 44144 Phone: 216-749-8279 Fax: 216-749-8210
Charles Wesley Williams, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7575 Northcliff Ave, Suite 200, Brooklyn, OH 44144 Phone: 216-749-8279 Fax: 216-749-8210
Ruben A Miguel, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7575 Northcliff Ave, Suite 102, Brooklyn, OH 44144 Phone: 216-398-8196 Fax: 216-398-8192
John V Cua, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 9937 Shady Ln, Brooklyn, OH 44144 Phone: 216-741-3627
Lawrence A Detwiler, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 7575 Northcliff Ave, Suite 102, Brooklyn, OH 44144 Phone: 216-398-8196 Fax: 216-398-8192

John Owen Tully, MD - Medicare Gastroenterology in Brooklyn, OH