Dr Marianne W C Tullus, MD is a
Family Medicine physician based in Baker, Florida. Dr Marianne W C Tullus is licensed to practice in Florida (license number ME 95968) and her current practice location is 1200 Henley Ln, Baker, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 537-9312.
NPI number for Dr Marianne W C Tullus is 1235141425 and her current mailing address is 1200 Henley Ln, Baker, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235141425.
Physician's Profile
| Full Name | Dr Marianne W C Tullus |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
|---|
| Location | 1200 Henley Ln, Baker, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235141425
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 12/05/2008
Medical Identifiers
Medical identifiers for Dr Marianne W C Tullus such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235141425 | NPI | - | NPPES |
| 276927100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | ME 95968 (Florida) | Primary |
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. Dr Marianne W C Tullus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marianne W C Tullus, MD
1200 Henley Ln,
Baker, FL 32531-2702
Ph: (850) 537-9312 | Dr Marianne W C Tullus, MD
1200 Henley Ln,
Baker, FL 32531-2702
Ph: (850) 537-9312 |
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