Dr Timothy Eugene Tully, MD is a
Radiology - Diagnostic Radiology physician based in Cable, Wisconsin. Dr Timothy Eugene Tully is licensed to practice in Wisconsin (license number 18196-020) and his current practice location is 47545 Chapinwood Rd, Cable, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 798-4825.
NPI number for Dr Timothy Eugene Tully is 1689825010 and his current mailing address is 47545 Chapinwood Rd, Cable, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689825010.
Physician's Profile
Full Name | Dr Timothy Eugene Tully |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 47545 Chapinwood Rd, Cable, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689825010
- Provider Enumeration Date: 10/03/2008
- Last Update Date: 10/03/2008
Medical Identifiers
Medical identifiers for Dr Timothy Eugene Tully such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689825010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 18196-020 (Wisconsin) | 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 Timothy Eugene Tully 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 Timothy Eugene Tully, MD 47545 Chapinwood Rd, Cable, WI 54821-3409 Ph: (715) 798-4825 | Dr Timothy Eugene Tully, MD 47545 Chapinwood Rd, Cable, WI 54821-3409 Ph: (715) 798-4825 |
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