Hannah Tully, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. Her current practice location is
30 E Apple St Fl 6, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 257-9926.
Hannah Tully is licensed to practice in Oklahoma (license number 8832) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841953965.
Physician's Profile
| Full Name | Hannah Tully |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 30 E Apple St Fl 6, Dayton, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841953965
- Provider Enumeration Date: 10/15/2021
- Last Update Date: 09/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2365809035
- Enrollment ID: I20230612001861
Medical Identifiers
Medical identifiers for Hannah Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841953965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | 8832 (Oklahoma) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 8832 (Oklahoma) | 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. Hannah 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 |
Hannah Tully, 88th Medical Group, 4881 Sugar Maple Drive, Wpafb, OH 45433 Ph: () - | Hannah Tully, 30 E Apple St Fl 6, Dayton, OH 45409-2939 Ph: (937) 257-9926 |
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