Brandon Ellis Tullis, MD in Park City, UT

Brandon Ellis Tullis, MD is a medicare enrolled "Internal Medicine - Sports Medicine" physician in Park City, Utah. He went to Oregon Health Sciences University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 3850 Canyons Resort Drive, Park City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 645-4130.

Brandon Ellis Tullis is licensed to practice in Utah (license number 5980963-1205) 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 1184050601.

Contact Information

	Brandon Ellis Tullis, MD
	3850 Canyons Resort Drive, Park City, UT 84098-6546
	(435) 645-4130
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandon Ellis Tullis
Gender	Male
Speciality	Hospitalist
Experience	8 Years
Location	3850 Canyons Resort Drive, Park City, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brandon Ellis Tullis attended and graduated from Oregon Health Sciences University School Of Medicine in 2016

NPI Data:

NPI Number: 1184050601
Provider Enumeration Date: 09/16/2013
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 0143515437
Enrollment ID: I20210708001105

Medical Identifiers

Medical identifiers for Brandon Ellis Tullis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184050601	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RS0010X	Internal Medicine - Sports Medicine	5980963-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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. Brandon Ellis Tullis allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Brandon Ellis Tullis 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
Brandon Ellis Tullis, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (435) 645-4130	Brandon Ellis Tullis, MD 3850 Canyons Resort Drive, Park City, UT 84098-6546 Ph: (435) 645-4130

Reviews and Comments

Internal Medicine Doctors in Park City, UT

Dr. Joshua Turner Napier, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7400
Todd Andrew Bigatel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7411
Dr. Winston Brent Bokor, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1526 Ute Blvd Ste 205, Park City, UT 84098 Phone: 385-520-7888 Fax: 865-213-9956
Donald John Brust, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Round Valley Dr Ste 200, Park City, UT 84060 Phone: 435-658-7400
Sean Manning Udell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 750 Round Valley Dr Ste 201, Park City, UT 84060 Phone: 435-649-7680
Dr. Jennifer A Knepper, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1784 Uinta Way Unit E2, Park City, UT 84098 Phone: 435-604-0160 Fax: 435-731-8328

Brandon Ellis Tullis, MD - Medicare Hospitalist in Park City, UT