Devin Michael Tully, in Fort Myers, FL - Medicare Nurse Anesthetist, Certified Registered

Devin Michael Tully, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Myers, Florida. His current practice location is 10501 Fgcu Blvd S, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 589-5030.

Devin Michael Tully is licensed to practice in New Mexico (license number 73722) 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 1073222949.

Contact Information

	Devin Michael Tully,
	10501 Fgcu Blvd S, Fort Myers, FL 33965-9079
	(904) 589-5030
	Not Available

Map and Direction

Provider's Profile

Full Name	Devin Michael Tully
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	10501 Fgcu Blvd S, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073222949
Provider Enumeration Date: 11/21/2022
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 4082077938
Enrollment ID: I20230825001414

Medical Identifiers

Medical identifiers for Devin Michael Tully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073222949	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9443736 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	73722 (New Mexico)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Devin Michael Tully allows following entities to bill medicare on his behalf.

Entity Name	Main Street Anesthesia Of New Mexico, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622

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. Devin Michael 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
Devin Michael Tully, 10501 Fgcu Blvd S, Fort Myers, FL 33965-9079 Ph: (904) 589-5030	Devin Michael Tully, 10501 Fgcu Blvd S, Fort Myers, FL 33965-9079 Ph: (904) 589-5030

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Myers, FL

Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151
Deborah Brzycki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Suite 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246

Devin Michael Tully, - Medicare Nurse Anesthetist, Certified Registered in Fort Myers, FL