Brenden G Tully, PA - Medicare Physician Assistant in Ashtabula, OH

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Brenden G Tully, PA is a medicare enrolled "Physician Assistant" in Ashtabula, Ohio. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bloomington Medical Services Llc, Wrh Physicians, Inc and his current practice location is 2420 Lake Ave, Ashtabula, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 997-2262.

Brenden G Tully is licensed to practice in Ohio (license number 50.008422RX) 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 1720765969.

Contact Information

Brenden G Tully, PA
2420 Lake Ave,
Ashtabula, OH 44004-4954
(440) 997-2262
Not Available

Map and Direction




Provider's Profile

Full NameBrenden G Tully
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location2420 Lake Ave, Ashtabula, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brenden G Tully graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1720765969
  • Provider Enumeration Date: 06/29/2023
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971959149
  • Enrollment ID: I20231024002114

Medical Identifiers

Medical identifiers for Brenden G Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720765969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 50.008422RX (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Summa Western Reserve HospitalCuyahoga falls, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bloomington Medical Services Llc9032297627106
Wrh Physicians, Inc0840342366149

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. Brenden G Tully allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093762353
PECOS PAC ID: 7214832435
Enrollment ID: O20040511000864
Entity NameBloomington Medical Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528246683
PECOS PAC ID: 9032297627
Enrollment ID: O20080422000953
Entity NameWrh Physicians, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700025459
PECOS PAC ID: 0840342366
Enrollment ID: O20090714000789

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. Brenden G 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 AddressPractice Location Address
Brenden G Tully, PA
411 Castle Rock Rd,
Brookfield, OH 44403-8603

Ph: (330) 413-7913		Brenden G Tully, PA
2420 Lake Ave,
Ashtabula, OH 44004-4954

Ph: (440) 997-2262

Reviews and Comments


Physician Assistant Nurses in Ashtabula, OH

Michell Mcdiffett, PA-C
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Kate Wagner, PA-C
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Phone: 440-496-6500    Fax: 440-496-6501
Mrs. Samantha Rae Meabon, PA-C
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Practice Location: 416 W 27th St, Ashtabula, OH 44004
Phone: 440-997-5427    
Sean Douglas Deeley, P.A.-C
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Practice Location: 2141 Lake Ave, Ashtabula, OH 44004
Phone: 440-443-0442    Fax: 440-755-8010
Beth Zanko, PA-C
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Practice Location: 2422 Lake Ave, Ashtabula, OH 44004
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Tatyana N Kuvshinikov, PA-C
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Practice Location: 417 W Prospect Rd, Ashtabula, OH 44004
Phone: 440-381-8520    
Andrea M Swartout,
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Phone: 440-993-1267    

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.