Dr Stacey S Tull, MD - Medicare Dermatology in Cottleville, MO

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Dr Stacey S Tull, MD is a medicare enrolled "Dermatology" physician in Cottleville, Missouri. She went to Duke University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Epiphany Dermatology Of Missouri Llc, St Charles County Dermatologic Surgery Llc and her current practice location is 1493 Cottleville Pkwy, Cottleville, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 317-3376.

Dr Stacey S Tull is licensed to practice in Missouri (license number 2000153517) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467407239.

Contact Information

Dr Stacey S Tull, MD
1493 Cottleville Pkwy,
Cottleville, MO 63376-3564
(636) 317-3376
(636) 244-1197

Map and Direction




Physician's Profile

Full NameDr Stacey S Tull
GenderFemale
SpecialityDermatology
Experience27 Years
Location1493 Cottleville Pkwy, Cottleville, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Stacey S Tull attended and graduated from Duke University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1467407239
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 02/19/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921042698
  • Enrollment ID: I20050614000372

Medical Identifiers

Medical identifiers for Dr Stacey S Tull such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467407239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 2000153517 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epiphany Dermatology Of Missouri Llc115368929414
St Charles County Dermatologic Surgery Llc49810300122

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. Dr Stacey S Tull allows following entities to bill medicare on her behalf.
Entity NameEpiphany Dermatology Of Missouri Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528573342
PECOS PAC ID: 1153689294
Enrollment ID: O20171219003630
Entity NameSt Charles County Dermatologic Surgery Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235761438
PECOS PAC ID: 4981030012
Enrollment ID: O20200207000852

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 Stacey S Tull 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
Dr Stacey S Tull, MD
1493 Cottleville Pkwy,
Cottleville, MO 63376-3564

Ph: (636) 317-3376		Dr Stacey S Tull, MD
1493 Cottleville Pkwy,
Cottleville, MO 63376-3564

Ph: (636) 317-3376

Reviews and Comments


Dermatology Doctors in Cottleville, MO


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.