Michael J Tullis, MD in Meridian, ID

Michael J Tullis, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Meridian, Idaho. His current practice location is 3875 E Overland Rd Ste 2d, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 600-1550.

Michael J Tullis is licensed to practice in Idaho (license number M-7939) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598717985.

Contact Information

	Michael J Tullis, MD
	3875 E Overland Rd Ste 2d, Meridian, ID 83642-9005
	(208) 600-1550
	(208) 600-1551

Map and Direction

Physician's Profile

Full Name	Michael J Tullis
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	3875 E Overland Rd Ste 2d, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598717985
Provider Enumeration Date: 05/16/2006
Last Update Date: 10/09/2019

Medicare PECOS Information:

PECOS PAC ID: 0840223855
Enrollment ID: I20050912000260

Medical Identifiers

Medical identifiers for Michael J Tullis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598717985	NPI	-	NPPES
288349	Medicaid	OR
000010028313	Other	ID	BLUE SHIELD
805714900	Medicaid	ID
J3938	Other	ID	BLUE CROSS
770002414	Other	ID	RRMC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	M-7939 (Idaho)	Primary

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. Michael J Tullis allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

Entity Name	Superior Vein Care Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609346303 PECOS PAC ID: 0244577393 Enrollment ID: O20190128000928

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. Michael J Tullis 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
Michael J Tullis, MD 3875 E Overland Rd Ste 2d, Meridian, ID 83642-9005 Ph: (208) 600-1550	Michael J Tullis, MD 3875 E Overland Rd Ste 2d, Meridian, ID 83642-9005 Ph: (208) 600-1550

Reviews and Comments

Surgery Doctors in Meridian, ID

Scott A. Henson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E. Louise Dr., #400, Meridian, ID 83642 Phone: 208-364-3000
Dr. Shelley Kathleen Perkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651
Dr. Ethan A Ferrel, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd Ste 1241, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931
Jerel James Brandt, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931
Dr. Amir Samir Zakhary Gendy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931
Katherine Elizabeth Kramme, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3399 E Louise Dr Ste 400, Meridian, ID 83642 Phone: 208-706-4650 Fax: 208-706-4651
Andrew Shay, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-381-6930 Fax: 208-381-6931

Michael J Tullis, MD - Medicare Surgery in Meridian, ID