Sean Tully, DO is a medicare enrolled "Allergy & Immunology" physician in Urbana, Illinois. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Carle Health Care Incorporated and his current practice location is
1818 E Windsor Rd, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 255-9770.
Sean Tully is licensed to practice in Illinois (license number 036176669) 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 1275093981.
Physician's Profile
| Full Name | Sean Tully |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 7 Years |
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| Location | 1818 E Windsor Rd, Urbana, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sean Tully graduated from medical school in 2019
NPI Data:
- NPI Number: 1275093981
- Provider Enumeration Date: 03/20/2019
- Last Update Date: 05/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 8729314554
- Enrollment ID: I20250909000715
Medical Identifiers
Medical identifiers for Sean Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275093981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 036176669 (Illinois) | Primary |
| 207R00000X | Internal Medicine | 036176669 (Illinois) | Secondary |
| 207K00000X | Allergy & Immunology | R3957 (Arizona) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carle Health Care Incorporated | 3577515774 | 1537 |
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. Sean 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 |
|---|
Sean Tully, DO
611 W Park St,
Urbana, IL 61801-2501
Ph: (217) 838-3311 | Sean Tully, DO
1818 E Windsor Rd,
Urbana, IL 61802-9566
Ph: (217) 255-9770 |
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