| Brenden G Tully, PA | |
|
2420 Lake Ave, Ashtabula, OH 44004-4954 | |
| (440) 997-2262 | |
| Not Available |
| Full Name | Brenden G Tully |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2420 Lake Ave, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720765969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.008422RX (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brenden G Tully, PA 411 Castle Rock Rd, Brookfield, OH 44403-8603 Ph: (330) 413-7913 | Brenden G Tully, PA 2420 Lake Ave, Ashtabula, OH 44004-4954 Ph: (440) 997-2262 |
Michell Mcdiffett, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4200 Park Ave, Ashtabula, OH 44004 Phone: 216-280-4363 | |
Mallory Shellenberger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4009 Shi Mar Dr, Ashtabula, OH 44004 Phone: 440-813-1579 | |
Mrs. Samantha Rae Meabon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 416 W 27th St, Ashtabula, OH 44004 Phone: 440-997-5427 | |
Joseph Michael Delatore, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2420 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-2262 | |
Beth Zanko, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2422 Lake Ave, Ashtabula, OH 44004 Phone: 440-997-6731 | |
Tatyana N Kuvshinikov, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3315 N Ridge Rd E Ste 700a, Ashtabula, OH 44004 Phone: 440-484-2130 | |
Andrea M Swartout, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4211 Birchwood Ave, Ashtabula, OH 44004 Phone: 440-993-1267 |