Dr Bryan P Tully, MD | |
5666 East State Street, Rockford, IL 61108-2425 | |
(815) 226-2000 | |
Not Available |
Full Name | Dr Bryan P Tully |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 19 Years |
Location | 5666 East State Street, Rockford, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134442213 | NPI | - | NPPES |
036126036 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036-126036 (Illinois) | Primary |
207R00000X | Internal Medicine | MT191660 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Bryan P Tully, MD 5666 East State Street, Rockford, IL 61108-2425 Ph: (815) 226-2000 | Dr Bryan P Tully, MD 5666 East State Street, Rockford, IL 61108-2425 Ph: (815) 226-2000 |
Dr. Adekola Abioudun Ashaye, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Prasad K. Kilaru, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
David R. Mitchell, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 5970 Churchview Dr, Rockford, IL 61107 Phone: 815-971-2000 | |
Dr. Amrutha Mary George, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1253 N Alpine Rd, Rockford, IL 61107 Phone: 779-696-9201 | |
Rajyalaxmi Mullapudi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Geoffrey Tsaras, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1340 Charles St Ste 404, Rockford, IL 61104 Phone: 779-696-1890 Fax: 779-696-2410 | |
Chester Durnas, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6785 Weaver Rd, Ste D, Rockford, IL 61114 Phone: 815-633-8586 |