Robert J Tully, LISW in Berea, OH - Medicare Social Worker Provider

Robert J Tully, LISW is a medicare enrolled "Social Worker - Clinical" provider in Berea, Ohio. His current practice location is 202 E Bagley Rd, Berea, Ohio. You can reach out to his office (for appointments etc.) via phone at (440) 234-2006.

Robert J Tully is licensed to practice in Ohio (license number I.1600753) 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 1689109597.

Contact Information

	Robert J Tully, LISW
	202 E Bagley Rd, Berea, OH 44017-2058
	(440) 234-2006
	(440) 234-0787

Map and Direction

Healthcare Provider's Profile

Full Name	Robert J Tully
Gender	Male
Speciality	Social Worker - Clinical
Location	202 E Bagley Rd, Berea, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689109597
Provider Enumeration Date: 04/28/2017
Last Update Date: 04/21/2020

Medicare PECOS Information:

PECOS PAC ID: 6608201975
Enrollment ID: I20200114002231

Medical Identifiers

Medical identifiers for Robert J Tully such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689109597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.1600753 (Ohio)	Primary
104100000X	Social Worker	I.1600753 (Ohio)	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. Robert J Tully allows following entities to bill medicare on his behalf.

Entity Name	Ohioguidestone
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609123728 PECOS PAC ID: 5597910935 Enrollment ID: O20130308000507

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. Robert J 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
Robert J Tully, LISW 202 E Bagley Rd, Berea, OH 44017-2058 Ph: (440) 234-2006	Robert J Tully, LISW 202 E Bagley Rd, Berea, OH 44017-2058 Ph: (440) 234-2006

Reviews and Comments

Social Worker in Berea, OH

Mrs. Theresa Maria Smith, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 440-260-8303
Kristina M Mcclaran, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 440-234-2006
Mr. John Bontempo, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 429 Front St, Berea, OH 44017 Phone: 440-234-1900 Fax: 440-234-2072
Mercedes Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 440-242-9435
Meghan Giblin, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 13, Berea, OH 44017 Phone: 440-970-3790 Fax: 440-527-8043
Billie Suain-mcclead, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 434 Eastland Rd, Berea, OH 44017 Phone: 440-234-2006
Mrs. Holly Aileen Disch Stoddard, MSSA, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 13, Berea, OH 44017 Phone: 440-970-3790 Fax: 440-527-8043

Robert J Tully, LISW - Medicare Clinical Social Worker in Berea, OH