Kellianne Tulley, - Medicare Physician Assistant in Merrick, NY

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Kellianne Tulley, is a medicare enrolled "Physician Assistant" in Merrick, New York. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice New York University and her current practice location is 21 Woodbine Ave, Merrick, New York. You can reach out to her office (for appointments etc.) via phone at (516) 663-8963.

Kellianne Tulley is licensed to practice in New York (license number 19479) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760842637.

Contact Information

Kellianne Tulley,
21 Woodbine Ave,
Merrick, NY 11566-3130
(516) 663-8963
Not Available

Map and Direction




Provider's Profile

Full NameKellianne Tulley
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location21 Woodbine Ave, Merrick, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellianne Tulley graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1760842637
  • Provider Enumeration Date: 03/04/2016
  • Last Update Date: 06/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678856457
  • Enrollment ID: I20170202001147

Medical Identifiers

Medical identifiers for Kellianne Tulley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760842637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 19479 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nyu Langone HospitalsNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324225925

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. Kellianne Tulley allows following entities to bill medicare on her behalf.
Entity NameGood Samaritan Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518901180
PECOS PAC ID: 5294639951
Enrollment ID: O20031124000491
Entity NameMercy Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619245610
PECOS PAC ID: 4082518006
Enrollment ID: O20040210000431
Entity NameSt. Joseph Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881799153
PECOS PAC ID: 1254222938
Enrollment ID: O20040323000142
Entity NameSt Francis Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760704811
PECOS PAC ID: 9234101221
Enrollment ID: O20040810001086
Entity NameSamaritan Emergency Medical Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104978014
PECOS PAC ID: 7012016660
Enrollment ID: O20070621000503
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20081202000185
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026
Entity NameProgressive Emergency Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588098172
PECOS PAC ID: 8820225956
Enrollment ID: O20131218000289

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. Kellianne Tulley 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
Kellianne Tulley,
21 Woodbine Ave,
Merrick, NY 11566-3130

Ph: Not Available		Kellianne Tulley,
21 Woodbine Ave,
Merrick, NY 11566-3130

Ph: (516) 663-8963

Reviews and Comments


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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.