Kelly Nicole Tullos, MD in Laurel, MS - Medicare Family Practice

Kelly Nicole Tullos, MD is a medicare enrolled "Family Medicine" physician in Laurel, Mississippi. She went to University Of Mississippi School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice South Central Clinics, Inc and her current practice location is 1440 Jefferson St, Laurel, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 428-0577.

Kelly Nicole Tullos is licensed to practice in Mississippi (license number 23841) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508125576.

Contact Information

	Kelly Nicole Tullos, MD
	1440 Jefferson St, Laurel, MS 39440-4243
	(601) 428-0577
	(601) 426-9854

Map and Direction

Physician's Profile

Full Name	Kelly Nicole Tullos
Gender	Female
Speciality	Family Practice
Experience	13 Years
Location	1440 Jefferson St, Laurel, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly Nicole Tullos attended and graduated from University Of Mississippi School Of Medicine in 2012

NPI Data:

NPI Number: 1508125576
Provider Enumeration Date: 05/11/2012
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0840421871
Enrollment ID: I20150625000644

Medical Identifiers

Medical identifiers for Kelly Nicole Tullos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508125576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083B0002X	Preventive Medicine - Obesity Medicine	23841 (Mississippi)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207Q00000X	Family Medicine	23841 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Central Clinics, Inc	4385876655	108

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. Kelly Nicole Tullos allows following entities to bill medicare on her behalf.

Entity Name	South Central Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834

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. Kelly Nicole Tullos 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
Kelly Nicole Tullos, MD Po Box 247, Laurel, MS 39441-0247 Ph: (601) 477-8553	Kelly Nicole Tullos, MD 1440 Jefferson St, Laurel, MS 39440-4243 Ph: (601) 428-0577

Reviews and Comments

Family Medicine Doctors in Laurel, MS

Carol Richardson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 103 S 12th Ave, Laurel, MS 39440 Phone: 601-399-1970
Dr. Charles Aaron Hollingshead, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4739 Fax: 601-399-6281
Dr. Jonathan J Polhemus, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1220 Jefferson St, Laurel, MS 39440 Phone: 601-426-4507 Fax: 601-426-4228
Dr. George R Bush, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 S 13th Avenue, Laurel, MS 39440 Phone: 601-649-7600 Fax: 601-649-7628
Dr. Jaishri B Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 604-649-3821 Fax: 601-649-3827
Dr. John Hassell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1440 Jefferson St, Laurel, MS 39440 Phone: 601-428-0577 Fax: 601-649-7962
Bharat Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 212 S 13th Ave, Laurel, MS 39440 Phone: 601-649-3821 Fax: 601-649-3827

Kelly Nicole Tullos, MD - Medicare Family Practice in Laurel, MS