Tully T Blalock Jr, MD - Medicare Internal Medicine in Rockledge, FL

Tully T Blalock Jr, MD is a medicare enrolled "Internal Medicine" physician in Rockledge, Florida. His current practice location is 220 Barton Blvd, Unit C14, Rockledge, Florida. You can reach out to his office (for appointments etc.) via phone at (321) 639-5177.

Tully T Blalock Jr is licensed to practice in Florida (license number ME26001) 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 1417004359.

Contact Information

Tully T Blalock Jr, MD
220 Barton Blvd, Unit C14,
Rockledge, FL 32955-2742
(321) 639-5177
(321) 639-4927

Map and Direction




Physician's Profile

Full NameTully T Blalock Jr
GenderMale
SpecialityInternal Medicine
Location220 Barton Blvd, Rockledge, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417004359
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 09/12/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4981606860
  • Enrollment ID: I20070206000163

Medical Identifiers

Medical identifiers for Tully T Blalock Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417004359NPI-NPPES
002048700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ME26001 (Florida)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. Tully T Blalock Jr 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 AddressPractice Location Address
Tully T Blalock Jr, MD
Po Box 1137,
Melbourne, FL 32902-1137

Ph: (321) 952-9696
Tully T Blalock Jr, MD
220 Barton Blvd, Unit C14,
Rockledge, FL 32955-2742

Ph: (321) 639-5177

Reviews and Comments


Internal Medicine Doctors in Rockledge, FL

Dr. Saima Abbas, M.D
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Robert E Barden, M.D.
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Deepika Aneja, M.D.
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Practice Location: 5466 Village Dr Unit C-1, Rockledge, FL 32955
Phone: 321-806-3310    Fax: 321-806-3310
Dr. Vijaykumar C Amin, M.D
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Practice Location: 3322 Siderwheel Dr, Rockledge, FL 32955
Phone: 321-636-0028    Fax: 321-636-0028
German Vergara, MD
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Medicare: Medicare Enrolled
Practice Location: 1295 South Us Higway 1, Rockledge, FL 32955
Phone: 321-637-6654    Fax: 321-433-1119

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.