Augustine Lavelle Tuma, MD - Medicare Internal Medicine in Lima, OH

Augustine Lavelle Tuma, MD is a medicare enrolled "Internal Medicine" physician in Lima, Ohio. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Upper Valley Professional Corporation, Hisey Physician Services, Llc and his current practice location is 730 W Market St, Lima, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 226-4310.

Augustine Lavelle Tuma is licensed to practice in Ohio (license number 35.074242) 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 1205874815.

Contact Information

Augustine Lavelle Tuma, MD
730 W Market St,
Lima, OH 45801-4602
(419) 226-4310
(419) 226-4315

Map and Direction




Physician's Profile

Full NameAugustine Lavelle Tuma
GenderMale
SpecialityInternal Medicine
Experience43 Years
Location730 W Market St, Lima, 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:
  • Augustine Lavelle Tuma graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1205874815
  • Provider Enumeration Date: 06/04/2006
  • Last Update Date: 10/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8022041300
  • Enrollment ID: I20060420000001

Medical Identifiers

Medical identifiers for Augustine Lavelle Tuma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205874815NPI-NPPES
2068097MedicaidOH
000000392256OtherOHBC/BS OF OHIO
POO86472OtherOHMEDICARE RR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35.074242 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Upper Valley Medical CenterTroy, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upper Valley Professional Corporation559765813860
Hisey Physician Services, Llc842649529257

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. Augustine Lavelle Tuma allows following entities to bill medicare on his behalf.
Entity NameUpper Valley Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407872518
PECOS PAC ID: 5597658138
Enrollment ID: O20040206000038
Entity NameHisey Physician Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073380614
PECOS PAC ID: 8426495292
Enrollment ID: O20240328002362

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. Augustine Lavelle Tuma 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
Augustine Lavelle Tuma, MD
3170 Kettering Blvd, Bldg B 3rd Floor,
Moraine, OH 45439-4602

Ph: (937) 991-3188
Augustine Lavelle Tuma, MD
730 W Market St,
Lima, OH 45801-4602

Ph: (419) 226-4310

Reviews and Comments


Internal Medicine Doctors in Lima, OH

Nadia Ghallab,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 730 W Market St, Lima, OH 45801
Phone: 419-226-4310    Fax: 419-226-4315
Deena M Hassuna, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 825 W Market St Ste 260, Lima, OH 45805
Phone: 199-964-0034    Fax: 419-996-5276
Mr. Tariq I Sheikh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2793 Shawnee Rd, Lima, OH 45806
Phone: 419-227-8209    Fax: 419-222-6007
Nathaniel Eric Quinn, MD, MPH, CPH
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 730 W Market St, Lima, OH 45801
Phone: 419-226-9301    
Dr. Eliyazar Gaddam, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 951 Commerce Pkwy, Suite 100, Lima, OH 45804
Phone: 419-224-5915    Fax: 419-224-5918
Pratap Balusu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 750 W High St, Ste 250, Lima, OH 45801
Phone: 419-227-7399    Fax: 419-229-0123
Mr. Charles W Brunelle, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 375 N Eastown Rd, Lima, OH 45807
Phone: 419-228-3500    Fax: 419-228-6700

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.